CVS Health

Health companies accused of abuses even as they get giant government contracts

BY: - December 14, 2021

Even though two huge health care companies were accused of abusing Ohio taxpayers in the past, the Ohio Department of Medicaid this year awarded them historic contracts, anyway. Even as that’s happening, another form of abuse might be taking place, critics say. At issue is whether pharmacy middlemen owned by the companies are pocketing huge […]

Medicaid giant settles with fifth state

BY: - December 8, 2021

Centene, the nation’s largest Medicaid managed-care provider, has settled fraud allegations with a fifth state, Kansas Attorney General Derek Schmidt announced Monday. The $27.6 million Kansas settlement comes after Mississippi, Illinois and Arkansas announced settlements totaling $154 million. All of those follow a settlement with Ohio — the only state to actually sue the company […]

In sworn statements, Ohio Medicaid director might have contradicted herself

BY: - November 15, 2021

Did Ohio Medicaid Director Maureen Corcoran know earlier this year that she owned stock in health giants CVS and UnitedHealth as she awarded enormous contracts to subsidiaries of both? In separate sworn statements, she seems to be saying no and yes. After a month of questions, Corcoran still hasn’t disclosed just how much stock she […]

Attempt to block $22 billion Medicaid contracts dismissed

BY: - November 10, 2021

A judge on Tuesday dismissed an attempt to overturn more than $22 billion worth of managed-care business as the Ohio Department of Medicaid tries to reshape the way it works with 3 million low-income and disabled Ohioans. However, questions remain about potential conflicts of interest on the part of some involved in awarding the business. […]

Ohio Medicaid: It’s not a conflict if you only own stock in the parent company

BY: - November 9, 2021

Ohio Medicaid Director Maureen Corcoran didn’t have a conflict of interest when she signed multi-billion-dollar contracts earlier this year, her department’s attorneys are arguing. That’s because she only owns stock in parent corporations — not their Ohio subsidiaries to whom she awarded contracts. The department made the argument in a Friday motion in a court […]

CVS sometimes forces people to use its pharmacies. Now the Supreme Court will weigh in

BY: - November 5, 2021

It’s a practice long complained of in Ohio. CVS Health and other massive corporations often use their pharmacy middleman subsidiaries to force people to get the most expensive class of drugs from the businesses’ own mail-order pharmacies. Some call the practice “patient steering.” CVS and companies such as UnitedHealth and ExpressScripts/Cigna say the arrangements save […]

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, […]

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 […]

State says Medicaid director complied with ethics law, won’t share documents

BY: - October 11, 2021

The Ohio Department of Medicaid and the governor’s office last week insisted that Medicaid Director Maureen Corcoran complied with state ethics laws as her department entered into massive contracts earlier this year. However, they so far have refused to produce copies of affidavits that seem to be required by state law, and Corcoran is refusing […]

Ohio’s Medicaid director owns the stock of some major contractors, but won’t say how much

BY: - October 6, 2021

Since she became director of the Ohio Department of Medicaid in January 2019, Maureen Corcoran has owned stock in some of the department’s biggest contractors. Given the size of those contracts, they could have increased the value of the stock Corcoran owned. But while she complied with one set of state disclosure requirements, Corcoran won’t […]