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New RICO Suit Filed by Wexler Boley & Elgersma LLP Accuses Centene Corporation, One of the Largest Health Insurers in the U.S., of Defrauding Millions of Consumers

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news-quote”>“The worst part of this alleged Ambetter scheme is that it intentionally targets and manipulates the most vulnerable people amongst us,” said Justin Boley, Partner at Wexler Boley & Elgersma LLP.”

Centene Corporation—currently the largest provider of health-insurance plans sold on the online exchanges established by the Affordable Care Act (ACA)—and its affiliates have been allegedly selling fraudulent health-insurance policies to millions of predominantly low-income consumers under the “Ambetter” brand name, according to a RICO lawsuit filed on Friday in the United States District Court for the Northern District of Illinois, Havrilla, et al. v. Centene Corp., et al., Case No. 1:22-cv-04126.

Centene and its affiliate companies market their signature Ambetter policies across 26 states. According to the suit, those consumers have been allegedly overcharged by hundreds of millions of dollars each year because the plans don’t deliver the benefits promised to consumers and fail to satisfy the minimum requirements imposed by the Affordable Care Act. Specifically, the suit alleges that Centene and its affiliates have misrepresented the benefits of Ambetter plans by, among other things, providing lists of in‑network providers that defendants know to be false. When the consumers who purchase the plans attempt to find a medical provider, the suit alleges, they quickly learn that very few—sometimes none—of the providers on the Ambetter in‑network list actually accept Ambetter insurance.

The class action lawsuit may affect over 10 million customers who have purchased Ambetter plans. In addition to consumers, the lawsuit highlights the overcharges Ambetter has inflicted on taxpayers and government entities. Ambetter Silver‑tier plans sold by Centene qualify for cost‑sharing through federal subsidies, meaning that the government pays for part of the monthly premiums and the insured individual receives lower out-of-pocket costs. Approximately 90% of the Ambetter plans sold through the exchanges are Silver‑tier plans, and the lawsuit alleges that, by knowingly selling the misrepresented Ambetter plans, Centene and its affiliates have defrauded the federal government of hundreds of millions of dollars every year.

“The worst part of this alleged Ambetter scheme is that it intentionally targets and manipulates the most vulnerable people amongst us,” said Justin Boley, Partner at Wexler Boley & Elgersma LLP. “These are victims that need care and are working with government-subsidized programs designed to ensure they receive at least a bare minimum of coverage. That’s not what they’re getting.”

The lawsuit alleges that Centene and its affiliate companies have used mailings and wire communications to carry out their alleged scheme by sending Ambetter plan documents and invoices to current or potential plan members, electronically filing Ambetter plan documents with the online health insurance exchanges of 26 states, and receiving fraudulently procured premium payments electronically from plan members. According to the complaint, these actions constitute millions of violations of the mail-and wire-fraud statutes by Centene and its affiliates, constituting a pattern of racketeering activity under federal RICO laws.

Plaintiffs seek to recover the overcharges that persons who purchased Ambetter plans incurred as a result of the defendants’ deceptive practices, as well as an injunction ordering Centene and its affiliate companies to stop the alleged unlawful conduct.

About Wexler Boley & Elgersma LLP

Wexler Boley & Elgersma is a high-stakes litigation law firm with a commitment to excellence and the achievement of meaningful relief for those we serve. Based in Chicago, WBE has extensive experience in antitrust, business & commercial, and complex class action litigation in both state and federal court. More information is available at http://www.wbe-llp.com or 312-346-2222.

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DevCycle Launches New A/B Testing and Experimentation Platform to Their Leading Feature Management Suite for Engineering Teams

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DevCycle announced the launch of A/B Testing & Experimentation, new functionality providing engineering teams instant insight into the impacts of deployed features.

DevCycle has released market-leading functionality, unlocking Experimentation and A/B Testing capabilities for feature releases. This new functionality enables leading teams to embed Experiments at all levels of their application stack. Experiments can be A/B or Multivariate, leveraging built-in distribution models, or augmented via API to run multi-armed bandit tests.

Some of the most popular use-cases are:


  • A new feature is released behind a flag and is measured against premium subscription conversions, validating if the new feature is improving revenue.
  • An infrastructure refactor is deployed with error rates tracked to ensure the intended improvement is observed.
  • A new SDK can be released while tied to response time and latency metrics, ensuring the user experience is improved via new tooling.

“Every time any feature is released, we look to DevCycle to test different approaches,” says Michael Yan, CTO of Heliolytics. “We’re able to safely release with DevCycle, and now with the ability to experiment we’re able to elevate everything we release by testing things out live!”

All of the metrics used in DevCycle’s experimentation functionality are so teams can view the impact all features have on any given metric. With this, any hidden impacts a feature has will become immediately obvious, without requiring additional analytics.

“Our team at DevCycle has roots in experimentation and A/B testing,” says Cobi Druxerman, DevCycle’s VP of Product. “So we leveraged our deep understanding to build a platform for engineers, giving development teams powerful methods of testing along with easy-to-interpret metrics.”

Experimentation is available now on all plans and any user can create experiments in minutes. Use DevCycle Experimentation today and test your feature releases to see their impact in real-time.

Head over to DevCycle’s documentation to learn more.

About DevCycle DevCycle is the leading feature management platform trusted by companies of all sizes to improve their software development process and ship features faster with confidence. DevCycle offers feature flags, A/B testing, and integrations with popular development tools like GitHub, Jira, and Slack. For more information about DevCycle or to sign up for a free account, visit https://devcycle.com/

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Consult PR Wins Gold at the Horizon Interactive Awards!

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news-image”>news-image” src=”https://ww1.prweb.com/prfiles/2022/07/25/18808839/gI_95745_NewsImage_vcsPRAsset_3169656_95745_4dda683d-4ccc-4227-bc7c-5398e43f4a55_0.png” width=”250″ height=”177″ alt=”Consult PR Wins Gold at the Horizon Interactive Awards!”/>

news-image-caption”>Consult PR Wins Gold at the Horizon Interactive Awards!

Florida-based digital marketing firm, Consult PR, with clients around the globe, wins the Horizon Interactive Gold Website Award in the Professional Services category with Eudy’s Cabinet Manufacturing, a client based in Stanfield, NC.

Eudy’s Cabinet Manufacturing serves the Carolinas, using the highest-quality materials to build custom cabinets and countertops for discerning homeowners. They wanted their digital presence to reflect their unique, hand-crafted cabinetry. They also wanted their website to highlight major projects completed over the last 50 years, depicting their superior design and construction. Consult PR created a website that showcased the history of this family-owned company and the “personal” touch that defines the quality cabinetry they produce.

Consult PR’s repeated success at the Horizon Interactive Awards is a testament to its ability to partner with each client and create a custom website that makes their vision a reality, helping their business to thrive.

Horizon Interactive Awards have become one of the most prestigious awards in the field of interactive, web design and creative media, receiving thousands of entries from all over the world. The competition recognizes, promotes and awards the best websites and website design, interactive, videos, online advertising, print media and mobile applications.

Consult PR has four main verticals: websites, software, phone apps and digital marketing. The above award falls within the company’s website design service offering. For additional information, contact Consult PR.

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First-Ever CPESN® Celebration Award Winners Announced at PioneerRx Connect

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news-quote”>“CPESN pharmacies are allowing pharmacy technicians to see their work not just as a job, but as a career.”

CPESN USA, a clinically integrated, nationwide organization of pharmacy networks created to advance community-based pharmacy practice, announced the winners of the 2022 CPESN® Celebration Awards. We were able to recognize eight CPESN pharmacies from all over the country in an effort to reward them for their continued pharmacy services efforts in their local communities. The following pharmacies were recognized:

COVID-19 Immunizations Award

Carvajal Pharmacy

San Antonio, Texas

CPESN Texas

eCare Planning Award

Panama Pharmacy

Jacksonville, Florida

CPESN Florida

Founders Award

Osterhaus Pharmacy

Maquoketa, Iowa

CPESN Iowa

Opioid Safety Award

Sumrall Drug Store

Sumrall, Mississippi

CPESN Mississippi

Quality-Focused Pharmacy Award

Klingensmith’s Pharmacy

Ford City, Pennsylvania

PPCN – CPESN Pennsylvania

Quality-Focused Pharmacist Award

Brenna Neuman, Collier Drug

Fayetteville, Arkansas

Arkansas CPESN

Pharmacist MVP Award

Michelle Farrell, Boscobel Pharmacy

Boscobel, Wisconsin

CPESN Wisconsin

Pharmacy Technician MVP Award

Sirena Kalinski, Duvall Family Drugs

Duvall, Washington

CPESN Washington

“We are honored to have these outstanding pharmacists, technicians, and pharmacy providers as active participants of local CPESN Networks across America,” said Troy Trygstad, PharmD, MBA, PhD, Executive Director of CPESN USA. “The effort these award-winners made to improve the health of their local communities deserves to be recognized.”

The CPESN Celebration was a part of the agenda of activities at the PioneerRx Connect Conference held last month in Nashville. All of the pharmacies recognized are participating in CPESN Networks and using PioneerRx or QS/1 as their pharmacy management system.

“I am so excited about being selected for this year’s Pharmacy Technician MVP Award!” shared Sirena Kalinski, with Duvall Family Drugs in Duvall, Washington. “CPESN pharmacies are allowing pharmacy technicians to see their work not just as a job, but as a career.”

About CPESN® USA

CPESN® USA a clinically integrated, nationwide organization of pharmacy networks structured to advance community-based pharmacy practice. They empower community-based pharmacies that are deeply rooted within their community by fostering their ability to provide high quality, patient-centered enhanced services. CPESN® pharmacies integrate with other healthcare providers on the patient’s care team to coordinate medical treatment. The results are better medication adherence, higher patient satisfaction, and lower healthcare costs. You can find CPESN® Networks of pharmacy providers in 42 states across America. To learn more, please visit http://www.CPESN.com.

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American Reading Company Transitions to 100% Employee Owned

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news-image-caption”>Launch day photo of ARC’s cadre of employee owners who are former educators

news-quote”>This is a curriculum that seeks to give more to those who often receive less—more books, more writing, and more support. I look forward to seeing where our brilliant owners take this organization next.

American Reading Company (ARC), developer of the highly rated, state-of-the-art curriculum ARC Core, has become 100 percent employee owned. This week, ARC transferred stock into an Employee Stock Ownership Plan (ESOP) and is now a company not only founded and run by educators but owned by educators as well.

“I’ve long believed that the best solutions to educational challenges come from those who have been closest to the classroom or have direct experience with the education system,” said founder and CEO Jane Hileman. “ARC is not your traditional business, and the main reason why is the people who work here.

This is a business where a vice principal with skill in logistics became the senior executive in charge of supply chain and a receptionist grew into the role of chief operating officer. It’s a place where teachers, principals, and other colleagues cultivate their talents in new ways to lead every department. Employees who act as stewards of the mission and enterprise in such dedicated ways make the transition to an ESOP all the more worthwhile and necessary.”

ARC designed curricula that jump-start children’s interest in reading while supporting their reading development. Of the over 300 ARC staff, many are former ARC Core users who have experienced first-hand the unprecedented progress and joy of both students and educators when their curriculum is systematic, rigorous, and aligned to the highest standards while maintaining flexibility and choice to meet the needs of students. ARC also strives to go beyond commitment to education.

ARC is B-Corp certified—meaning the company meets the highest standards of social and environmental performance, transparency, and accountability to balance profit and purpose. All ARC releases/”>press titles are manufactured and made in America with vegetable ink. ARC’s newly purchased office and warehouse are being renovated to comply with the highest environmental standards and will include expanded green space.

“When I started on this journey 25 years ago, it was because my experience as a teacher led me to seek ways to support all kids—no matter where they come from or their circumstances—to be lifelong readers and learners,” Hileman says. “Every child deserves an education that not only supports reading development but cultivates a love of reading that can transcend circumstance. This is a curriculum that seeks to give more to those who often receive less—more books, more writing, and more support. I look forward to seeing where our brilliant owners take this organization next.”

About American Reading Company

American Reading Company (ARC) is a diverse, mission-driven organization, headquartered in Blue Bell, Pennsylvania, that works to ensure every student reads and writes on or above grade level. ARC works collaboratively to strengthen district and school capacity at every level by placing literacy and agency at the heart of school transformation through foundational skills instruction, reading and writing practice, knowledge-building content, formative assessment, and an integrated tiered system of support.

As a result, all students read, write, discuss, think, investigate, and solve problems at ever-increasing levels of proficiency. ARC partners share a sustained commitment with partner districts to achieve academic success for every student.

Visit http://www.americanreading.com for further information.

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Panther National Marks Debut Sales Release with $125 Million Under Contract in First Phase

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news-image”>news-image” src=”https://ww1.prweb.com/prfiles/2022/07/12/18788526/gI_331922_NewsImage_vcsPRAsset_4186696_331922_c78b9738-2143-4ff7-bf40-fcb6bafc0dae_0.png” width=”250″ height=”140″ alt=””/>

news-image-caption”>Rendering of the Golf Course Clubhouse at Panther National

news-quote”>“From the day we announced Panther National’s groundbreaking earlier this year, our team has been overwhelmed by unmatched demand and excitement from buyers,” says Mike Collins, founding partner and CEO of IMI Worldwide Properties.

Panther National, the luxury golf and lifestyle community currently under development in upscale enclave Palm Beach Gardens, announces overwhelming success with $250 million in contracts and unit-specific reservations to date.

Reflecting pent-up demand for inventory in the South Florida market and buyer interest in a new, modern approach to the luxury golf club community lifestyle, Panther National’s sales success to date has been unprecedented in the Palm Beach area. The development represents the first of its kind in Florida and the first golf development in Palm Beach County in almost two decades.

A limited number of one-half and one-acre custom home sites remain available in Phase I. Priced from $2 to $5 million, custom home site buyers will enjoy special membership privileges at Panther National. IMI Worldwide Properties will launch Phase II sales later this year.

“From the day we announced Panther National’s groundbreaking earlier this year, our team has been overwhelmed by unmatched demand and excitement from buyers,” says Mike Collins, founding partner and CEO of IMI Worldwide Properties. “The vision for an innovative and forward-thinking luxury golf community has really resonated with a wide range of buyers, from young families to empty nesters, and reinforces the desire for an offering with a multi-generational private club membership component. We couldn’t be more thrilled at the response Panther National has generated in just a few months and we look forward to building on that incredible momentum as the project progresses.”

Conceptualized by Swiss developer Dominik Senn, Panther National is designed in partnership with world-renowned architect Max Strang, legendary golfer Jack Nicklaus, and PGA TOUR player Justin Thomas. Developed on the last buildable piece of land in the Palm Beach Gardens master plan, Panther National will combine 218 custom, modern estates with a Jack Nicklaus Signature Golf Course in collaboration with Justin Thomas and premium community amenities for an unparalleled modern luxury living experience.

“For nearly five years now, I’ve had the vision to create a new sort of modern golf and lifestyle community, driven by sustainability and forward-thinking design,” says Senn. “I couldn’t be more excited to see that vision come to fruition in Panther National and to see the development receive such immensely positive feedback in the way of sales thus far. It’s rewarding to know this community we’ve envisioned for Palm Beach County has appealed so strongly to future homeowners looking to plant roots in the region.”

Comprised of third-acre, half-acre and one-acre sites, Panther National’s residences will pair sleek, modern elegance with visionary, environmentally sensitive engineering for a sustainable and effortless luxury living experience. Homeowners can choose from ten unique floor plans ranging from 4,200 to more than 10,000 square feet with three to six bedrooms across one to two stories. All ultra-luxury residences will feature a two or three car garage with electric car charging units, space for a golf cart, an outdoor kitchen, and private pool. The estates at Panther National will utilize ecologically sensitive construction products, LEED certified materials, and green building practices.

Beyond the residences, Panther National will offer a Jack Nicklaus Signature 18-hole golf course designed by Nicklaus and current PGA TOUR star Justin Thomas; world class golf training facilities featuring state-of-the-art ball tracing technology and indoor simulator; a 9-hole par-3 practice course; contemporary Clubhouse with premium dining; and a wellness lifestyle center with spa, saunas, fitness and yoga studios, tennis complex, and a resort-style pool.

The Panther National golf course and lounge are slated for completion in late 2023, with the Clubhouse, community amenities and first homes expected to deliver in 2024.

For more information on Panther National, please visit http://www.panthernational.com or follow @panthernational. For more information about sales, please contact IMI Worldwide Properties at http://www.imiliving.com. Renderings are available here (credit: Panther National) for download.

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About Panther National

Panther National is the first modern golf and lifestyle community to debut in Palm Beach County in nearly two decades. Developed by founder and president Dominik Senn, Panther National combines 218 custom, modern estates designed by world-renowned architect Max Strang with a Jack Nicklaus and Justin Thomas signature championship golf course and premium community amenities and social facilities. The development broke ground on February 22 and the first release of sales commence this summer. For more information, visit http://www.panthernational.com.

About IMI Worldwide Properties

IMI Worldwide Properties is an innovative and integrated real estate brokerage firm focused on new and emerging luxury real estate. For over 30 years, IMI Worldwide Properties has created some of the most recognized luxury real estate communities around the world. For more information, please visit http://www.imiliving.com.

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