Hi all--we're John Holland and Celine Castronuovo, the two reporters behind that Bloomberg Law investigation into Gainwell. https://news.bloomberglaw.com/health-law-and-business/medicaids-gatekeepers-fail-to-catch-fraud-and-often-dont-try
If any of you encountered the issues we wrote about during your time at the company, feel free to let us know. We are happy to chat off the record or on background. You can email us at jholland1@bloombergindustry.com and ccastronuovo@bloombergindustry.com.
Gainwell's incompetence is only possible due to the willingness of the States to look past it. No State will ever call out Gainwell because it would be obvious they are willing accomplices.
The State health departments just want to look good, nothing more. So they send sugar coated status reports to their legislators. The sh-t would really have to hit the fan before they attacked GW.
And hey it's not like they have a lot of options. Kick GW out and then what? Best they can do is award smaller contracts to GW competitors. Taxpayers are sc--wed in the end.
Let’s be honest here.
This article shows the truth. Undeniable proof that Gainwell is participating in fraud. They are doing whatever it takes to get the contract with states including blatantly lying about deliverables. They don’t deliver and have no intention of delivering. They allow payments that should never happen. As long as the money keeps flowing they will do whatever shady thing is needed.
This is a disgusting way that this organization has taken advantage of the government, the taxpayers, and the vulnerable Medicaid population.
It’s a flat out money grab. It’s stealing. The leaders should be prosecuted. Improper payments should be recouped. Gainwell should owe hundreds of millions in restitution. The organization should be shut down.
The organization has stolen billions of dollars of taxpayer money. They have mismanaged that money and find themselves in a financial pickle. Their debt is coming due. All that theft can’t even pay it off. So offshoring has been the decision.
States should drop Gainwell like a hot potato. The organization should be shut down. All money should be taken back and given to the states they stole it from. Leaders should be prosecuted. There’s no other way to go about this with honesty and integrity, neither of which Gainwell has.
This is a disgusting display of abusing the taxpayer and taking advantage of the vulnerable.
This is normal for the Gainwell lifers. These people have worked for some form of this joke of a company for so long they are literally incapable of working anywhere else.
Absolutely fraud . Now shifting jobs to offshore to make the data more vulnerable. This company needs to be exposed .
Choosing to be employed by Gainwell Technologies is choosing to be part of the fraud.
That article is a bombshell.
That is just the tip of the iceberg for the amount of fraud happening within Gainwell. The article only mentioned a few states. This fraud is happening in all states that Gainwell touches. They are ripping off the federal government and all states that they are part of. They over promise just to get the contract with no intention of delivering. It’s a money grab. It’s flat out theft. It’s fraud at the highest level. Gainwell has no business operating.
DOGE absolutely needs to take back every cent they have and shut them down.
The funny part is that even stealing all that they have, they can’t even stay operating in the black.
Whatever helps you sleep at night AOC.
DOGE is a fraud itself, don't expect them to find actual fraud unless Gainwell fails to pay its protection money.
@superanonymous I always wondered what happened to her. She worked in treasury for a good while then all of a sudden she was gone. Well off to prison she goes..so stupid
UHC does not pay claims, Gainwell pays claims. Nobody is happy
These people need to be reported to Doge . Everything is shady . They lie everything
This is not the first time Gainwell’s systems messed up payments. https://www.sevendaysvt.com/news/vermont-medicaid-overpaid-some-providers-wants-money-back-41552680
Veritas, it’s time for some heads to roll and it’s not in middle management!
Rest assured Gainwell will hire another Indian village to rectify these failures
Personal Opinion Response: Funny how the article mentions GW debt and their solution being to lay off and offshore US team members. This strategy over the last 5 years in my opinion has led us to where we are now. Moving all the work offshore to team members who do not understand how our medical system works nor the laws that drive it (Biggest issue I see is handing over PHI for these vulnerable populations.) These unknowledgeable workers are the ones making these decisions without the knowledge base to effectively/efficiently/correctly process medical data. Instead of admitting there is a problem States/GW are essentially saying but it's a really hard hard thing to implement and do. What? Only with the wrong people! I would guess that all the other states are going to put GW on an action plan knowing they are costing the state and federal gov't so much money with incompetence and what one manager at GW states was flat out lies? Which we all know is money from our pockets. Working at GW could be costing you and your entire family $$$. GW needs to start implementing the Lean Six Sigma processes into every aspect of their business. They need to train their own people. Not bring in consultants to try to teach a new process in an industry they have no knowledge about. Think Agile SAFe rollout debacle and the person behind the mess and confusion. Only then will we see actual results. Continuing paying ineffective leaders exorbitant amounts of money to make poor decisions of WFR'ing those with SME knowledge of how the system works isn't ending well for them and I expect it will continue to go downhill the more that DOGE looks for fraud, misuse and abuse.
Not related to layoffs but looked back and nobody has ever mentioned this. Guess maybe not a lot of people knew.
https://www.justice.gov/usao-ndtx/pr/woman-who-defrauded-health-human-services-tech-company-sentenced-4-years-prison
https://news.bloomberglaw.com/health-law-and-business/medicaids-gatekeepers-fail-to-catch-fraud-and-often-dont-try
Do you mean the two people from Bloomberg Financial who were asking employees for info on their experiences?
Word of advice - avoid Florida
Department of Justice investigation?
Ups and downs
Details please!
What investigation?