The James Hoyer whistleblower case against HealthNet and IU Health, the largest health system in Indiana, will move forward. The suit, brought by Dr. Judith Robinson, an ob/gyn and former director at both entities, alleges HealthNet and IU Health provided substandard care to low income pregnant women and fraudulently billed for their care.
Under Indiana Medicaid rules, high risk pregnant women must receive care from a doctor in order for that care to be reimbursed. Instead, the suit says IU Health and HealthNet used certified nurse midwives to provide their care, in what Dr. Robinson believes was a money saving scheme.
“She (Dr. Robinson) brought this case to make sure Medicaid patients are getting the care they deserve. We believe allowing this lawsuit to go forward is a really strong step in that direction,” Jame Hoyer Partner Jillian Estes told WTHR.