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Centene (CNC), one of the largest health insurers in the U.S., agreed to pay nearly $28 million to Kansas to settle allegations that a pharmacy benefits subsidiary overcharged the state Medicaid program, the fifth such deal this year between the company and a state government.

The deal comes after heightened scrutiny of Centene operations that were raised in a state audit and subsequent lawsuit filed earlier this year by Ohio Attorney General Dave Yost, who alleged the health insurer misrepresented pharmacy costs and, through its different subsidiaries, collected an additional $20 million in fees.

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