Medicaid Managed Care
Analysis: Billion-dollar whitewash?
In the wake of a blockbuster settlement of fraud claims, the top executive at the nation’s biggest Medicaid contractor was eager Wednesday to put the matter behind the company, which derives most of its revenue from taxpayers. But even though executives repeatedly used some form of the word “transparency,” they seem to be trying to […]
Two additional states might be eyeing litigation against health care giant
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
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 […]
Conflicting corporate claims at the heart of Ohio’s blockbuster Medicaid suit
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 […]
State budget must provide adequate resources to fully implement new Medicaid managed care contract
Ohio is on the brink of making historic changes to its Medicaid program. For the first time since 2012, the Department of Medicaid is renegotiating its contracts with private insurance companies that are tasked with administering most of the state’s health care program for low-income residents. If these changes are fully implemented then vulnerable Ohioans, […]