Medicaid

Six months after claiming massive fraud, Ohio awards contract worth billions to health giant

BY: - August 17, 2021

Ohio is again in business with a company that only recently it was accusing of massive fraud. The state’s leaders seem  reluctant to explain why. Two months ago, Ohio Attorney General Dave Yost announced that Centene, the largest Medicaid managed-care provider in the United States, would pay Ohio $88.3 million to settle a lawsuit claiming […]

State leadership gives mixed reviews for federal change to Medicaid work requirement

BY: - August 12, 2021

Ohio Gov. Mike DeWine said he’s disappointed in the Biden administration’s reversal in approving a work requirement waiver for Medicaid recipients. The Centers for Medicare & Medicaid Services ended a Trump-era policy that permitted the state to require work or “community engagement activities” as a condition of Medicaid eligibility, according to a letter sent to […]

Study: Child poverty, family stability see major impacts during pandemic

BY: - August 11, 2021

A new study shows the coronavirus pandemic erased gains against child poverty and family stability, among other indicators of child wellbeing in the state. Children’s Defense Fund-Ohio’s annual “kids count” profile used 16 wellbeing categories in the areas of health care, safety, homes and communities, finance and education, which leaders of CDF say show areas […]

Ohio pharmacists, care provider say program is a national model

BY: - July 26, 2021

DAYTON — Ziks Family Pharmacy in the historic Wright-Dunbar neighborhood here has been participating in a program that it and Dayton-based CareSource hope will serve as a national model. Now some results are in. CareSource, a Medicaid managed-care provider, for a year has been paying Ziks not just to fill prescriptions, but to do diagnostic […]

Medicaid rebid stripped from Ohio budget. Other actions unclear.

BY: - June 30, 2021

Medicaid rebid stripped from Ohio budget. Other actions unclear.

Analysis: Billion-dollar whitewash?

BY: - June 16, 2021

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 […]

Centene agrees to settle Medicaid claims with Ohio, Mississippi for $143 million

BY: - June 14, 2021

In what could be a harbinger of more settlements, Medicaid managed-care contractor Centene on Monday settled potential fraud claims by Ohio and Mississippi for $88.3 million and $55 million, respectively. Ohio is the only state to file suit so far alleging improper double billing through Centene’s pharmacy middlemen. But Mississippi, Kansas, Arkansas, Georgia, Oklahoma and […]

Housing advocate: Worker crunch due to a lot more than federal supplements

BY: - May 25, 2021

Federal unemployment supplements are not the sole reason Ohio employers are having a hard time finding workers, an Ohio housing advocate said Monday. Gov. Mike DeWine earlier this month announced that on June 26 he would end Ohio’s participation in a federal program that provided $300 a week in additional unemployment pay. The money was […]

Advocates: Increases in infant health, reductions in youth prisons should be budget priorities

BY: - May 14, 2021

Advocates are looking to the Ohio Senate to prioritize child welfare issues, such as infant health, child care and reducing youth incarceration as they work toward passage of the state operating budget. Members of child welfare organizations across the state are encouraged by continued investments in local support programs addressing poverty and child care that […]

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

Transportation remains a barrier to vaccination for many Ohioans

BY: - March 10, 2021

A new database is up and running to get Ohioans scheduled for COVID-19 vaccinations, but another issue facing those wanting the shot is getting there. Ohio Gov. Mike DeWine announced the launch of a centralized scheduling tool that he says will streamline the process. The state is still working to get providers connected to the […]

Benefits rollback bill would cost nearly $20 million in red tape, legislative analysts say

BY: - February 25, 2021

A legislative proposal to restrict eligibility for social safety net programs like food stamps or Medicaid would cost nearly $20 million to implement, according to state policy analysts. The Ohio Legislative Service Commission, a nonpartisan arm of the state legislature that evaluates policy proposals, estimated a plan to require photo identification on every Supplemental Nutrition […]