Horizon Blue Cross Blue Shield of New Jersey has agreed to pay $100 million to settle allegations that its 2020 contract with the state was fraudulent, according the state’s Attorney General.
Horizon, which currently facilitates health benefits to more than three million New Jersey residents, fraudulently won the 2020 multibillion-dollar contract to administer a New Jersey employee benefit program and a school employee benefit program, according to New Jersey Attorney General Matthew Platkin. Horizon then “systematically overcharged the state for healthcare claims” for the 4.5 years of the contract, Platkin alleged in a complaint, which was filed Nov. 7 in U.S. District Court for the District of New Jersey. Similar allegations were also contained within the settlement agreement.
