MedStar’s insurer, MedStar Family Choice, was one of three companies that won a massive city contract last year, totaling about $1.5 billion, to collectively manage the care of about 250,000 Medicaid beneficiaries and residents enrolled in the city’s Alliance health-care program for low-income immigrants and other patients. But months after the contract began, a judge ruled that MedStar had actually violated procurement law during the process.

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D.C. Medicaid patients could lose access to doctors at MedStar, the hospital system that most often treats D.C.’s poor – The Washington Post