Centene

Health care giant acknowledges Ohio suit, says more could come from other states

BY: - April 29, 2021

Healthcare giant acknowledges Ohio suit, says more could come from other states

Two additional states might be eyeing litigation against health care giant

BY: - April 26, 2021

Add Kansas and Arkansas to the list of states that might be considering litigation against the largest Medicaid managed-care contractor in the country. Ohio already is suing St. Louis-based Centene, claiming that the company used layers of middlemen to overbill the state by tens of million of dollars for prescription drugs — allegations Centene adamantly […]

Ohio’s suing a huge Medicaid contractor. Mississippi’s investigating whether to follow suit

BY: - April 19, 2021

Ohio might have started a trend last month when it filed suit against the largest Medicaid contractor in the United States. Now Mississippi is considering litigation of its own. A spokeswoman for Mississippi Attorney General Lynn Fitch didn’t respond to requests for comment last week, but that office told the Daily Journal in Mississippi that […]

Ohio hires Medicaid prescription drug watchdog

BY: - April 15, 2021

As it makes sweeping reforms to the way it handles managed care for the state’s $24 billion Medicaid program, Ohio on Wednesday announced that it had hired a company to monitor its progress.  The Department of Medicaid announced that it had hired the Medicaid and Medicare auditing firm Myers and Stauffer to be its pharmacy […]

Conflicting corporate claims at the heart of Ohio’s blockbuster Medicaid suit

BY: - April 12, 2021

Two mega-corporations appear to be claiming they did the same work for Medicaid — Ohio’s $24 billion-a-year program that provides health care to the poorest 25% of state residents.  Since the companies received at least $53 million for the work in 2017 alone, the conflicting claims could be a big problem — one with potential […]

Ohio suit against health care giant is sealed. Here’s why

BY: - March 16, 2021

Ohio Attorney General Dave Yost last week filed suit against the largest Medicaid managed-care provider in the United States.  The suit appears to accuse St. Louis-based Centene of improper billing, misrepresentation of its costs and other offenses. But it’s impossible to know for sure because the case was filed under seal. For the most part, […]

Ohio sues health giant over drug discrepancies

BY: - March 12, 2021

Ohio Attorney General Dave Yost has sued the largest Medicaid provider in the U.S. He’s claiming that, in addition to other transgressions, health care giant Centene billed the Ohio Department of Medicaid’s pharmacy program for money that had already been paid. The St. Louis-based company owns the Buckeye Health Plan, one of the five managed-care […]

Feds said to be investigating largest Medicaid provider in the U.S.

BY: - July 20, 2020

Federal officials are probing actions taken in Ohio in 2017 by the largest Medicaid managed care provider in the United States, a source familiar with the investigation has told Ohio Capital Journal.  The U.S. Centers for Medicaid and Medicare Services declined to confirm or deny the existence of an investigation. But the source said the […]