Medicaid

Already concerned with drug costs, large employers, family pharmacists worry about more middlemen

BY: - September 2, 2021

There already were deep concerns among small pharmacists about drug middlemen known as "pharmacy benefit managers."  Now the corporations that own them appear to be creating yet another layer of middlemen. That has even the largest employers in the country worried.

Medicaid vaccination rates founder as states struggle to immunize their poorest residents

BY: - September 1, 2021

By Phil Galewitz, Kaiser Health News Medicaid enrollees are getting vaccinated against COVID-19 at far lower rates than the general population as states search for the best strategies to improve access to the shots and persuade those who remain hesitant. Efforts by state Medicaid agencies and the private health plans that most states pay to […]

Ohio Medicaid chief dodges when asked to explain business with company AG said “fleeced” taxpayers

BY: - August 26, 2021

Ohio Medicaid Director Maureen Corcoran didn’t give many straight answers Wednesday when she was pressed about why her agency restarted a massive contract with a company that earlier this year was accused of “fleecing” taxpayers out of tens of millions of dollars. At one point, Corcoran even invoked lawyer-client privilege to avoid answering a question. […]

Long-time DeWine friend lobbied for corporation accused of fraud

BY: - August 23, 2021

Many Ohioans were scratching their heads earlier this month.  The administration of Gov. Mike DeWine had just restarted a massive contract with Centene Corp. Only six months earlier, Attorney General Dave Yost agreed to accept $88.3 million from the company to settle claims that it had defrauded the state’s Medicaid program of tens of millions […]

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 […]