Biz & Labor

Are companies still inflating the cost of Medicaid drugs? 

BY: - November 4, 2021

Last week, Ohio Medicaid Director Maureen Corcoran revealed something with potentially far-reaching implications: When her department calculates how much to pay managed-care companies she’s not sure if it it knows the true cost of the prescription drugs for which it is shelling out billions. If the drug middlemen hired by Ohio’s Medicaid managed-care contractors are […]

After Ohio scandal, Medicaid managed-care giant to exit the pharmacy business

BY: - November 2, 2021

Centene, the nation’s largest Medicaid managed-care company, is planning to stop its work as a pharmacy middleman, or pharmacy benefit manager. Executives last week said the company is issuing a $30 billion request for proposals from an outside contractor to take over the work. The news comes after Ohio Attorney General Dave Yost sued the […]

How a 2005 Ohio ‘tort reform’ law has cost child rape victims millions

BY: - November 1, 2021

Placing limits on the money juries can award to lawsuit winners was “urgently needed to restore balance, fairness and predictability” into Ohio’s court system, the authors of 2005 “tort reform” legislation wrote. The absence of such maximums, they said, would hold the door for open runaway juries demanding corporations pay outrageous sums in legal disputes. […]

Medicaid chief stresses transparency, won’t talk about her investments in giant contractors

BY: - October 29, 2021

Medicaid chief stresses transparency, won't talk about her investments in giant contractors.

Aetna, an Ohio Medicaid contractor, accused of denying kids care in Pennsylvania

BY: - October 27, 2021

In a case that could have implications for Ohio, a Pennsylvania whistleblower is accusing Aetna of making it impossible for the parents of some kids on Medicaid to find doctors. The insurer then pocketed money from the state for services not rendered, the suit alleges. Aetna denies the charges. The case is relevant here because […]

Firm that facilitated $22B in contracts won’t say if any went to its clients

BY: - October 26, 2021

When the Ohio Department of Medicaid this year selected six companies to manage $22 billion worth of managed-care business, it was supposed to be a competitive process. But some pretty big questions linger about how competitive it actually was.  Somehow, an Ohio-based company was dinged because it hadn’t worked outside the Buckeye State. But giant, […]

‘Down to my last diaper’: The anxiety of parenting in poverty

BY: - October 26, 2021

By Jenny Gold, Kaiser Health News For parents living in poverty, “diaper math” is a familiar and distressingly pressing daily calculation. Babies in the U.S. go through six to 10 disposable diapers a day, at an average cost of $70 to $80 a month. Name-brand diapers with high-end absorption sell for as much as a […]

County officials pushing for more tax abatement reporting

BY: - October 20, 2021

State lawmakers are considering legislation that would collect statewide information about property tax exemptions, and add that data to the list of tax breaks reviewed by state officials every other year. The information itself already exists — county auditors deliver it to the Ohio Department of Taxation regularly. But backers believe the move could shine […]

Economists pan Ohio coal subsidies

BY: - October 19, 2021

Coal subsidies passed in 2019 as part of a historically corrupt energy law are of no help to the state’s economy, the vast majority of a panel of academic economists said in a survey that was released Monday. Of the 22 economists responding, 21 disagreed with the proposition that “subsidies for coal plants paid for […]

Company hints that Medicaid director acted improperly. It’s happened before

BY: - October 18, 2021

A company that was passed over for a piece of the biggest set of contracts ever let by the state of Ohio hinted in court Wednesday that Ohio Medicaid Director Maureen Corcoran might have acted improperly. Kirsten R. Fraser, an attorney for managed-care provider Paramount Advantage, asked a Medicaid official if Corcoran or one of […]

Disappointed Medicaid bidder focuses on inconsistencies

BY: - October 14, 2021

A Toledo company that’s trying to stop a group of contracts worth billions from going forward on Wednesday focused on what it saw as inconsistencies in the way the Ohio Department of Medicaid procured them. And it again hinted at possible improprieties by Medicaid Director Maureen Corcoran. It was the second day in a trial […]

Bias, conflict were present in $22 billion Ohio Medicaid contract, bidder says

BY: - October 13, 2021

A Toledo-area health care provider says that it’s received top ratings in the eight years it’s provided managed-care services to the Ohio Medicaid program. It hinted that it was the victim of bias and possible conflicts of interest earlier this year when it missed out on a share of a five-year, $22 billion program meant […]