APS Healthcare Subsidiary Reaches Settlement with U.S. Department of Health and Human Services on Georgia Medicaid Contract

WHITE PLAINS, N.Y., Feb. 23, 2011 /PRNewswire/ -- Innovative Resource Group, LLC (IRG), a subsidiary of APS Healthcare, announced today it has entered into a settlement agreement with the U.S. Department of Health & Human Services, the Department of Justice, the Office of the Inspector General (OIG), and the State of Georgia.  In accordance with the settlement, IRG will pay $13 million regarding a contract administered by IRG while it served as a disease management provider to Georgia's Medicaid program from 2007 to early 2009.  IRG also entered into a Corporate Integrity Agreement, as is typical of settlements with the OIG.

"This disagreement centered around a lack of clarity in certain provisions of the original contract and it is for that reason we strongly deny the allegations made against IRG," said Greg Scott, chief executive officer for APS Healthcare.  "We had notified the Georgia Medicaid program of these ambiguities long before the case was filed, and had proactively worked to clarify and address them.  At all times we operated within the terms of the contract. Despite these challenges, we are proud that we accomplished many of the goals of the program and provided valuable disease management services to the State of Georgia's most needy citizens.  In doing so, we significantly improved the health status of many participants in the program."

"Rather than engage in a lengthy legal process, we elected to put this disagreement behind us so that we can continue to focus on our core mission to improve the health of the people we serve through innovative solutions that empower individuals to manage their health needs.  Today's settlement means that all matters contributing to this issue have been successfully addressed and resolved," continued Scott.

"The provisions of the Corporate Integrity Agreement are consistent with the policies and procedures we already have in place," he concluded.  "For us, this serves to validate the sound and fair standards by which we continue to operate."

About APS Healthcare

APS Healthcare, headquartered in White Plains, NY, is a leading provider of specialty healthcare solutions. APS delivers customized, integrated healthcare solutions that help people engage in behaviors that optimize their health status. By uniting all participants in the healthcare landscape – individuals, practitioners and payers – APS improves overall health and reduces total healthcare expenditures. 

SOURCE APS Healthcare