Medicaid

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 […]

COMMENTARY

State budget must provide adequate resources to fully implement new Medicaid managed care contract

BY: - February 19, 2021

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, […]

‘Ludicrous and unhelpful:’ Senate Republican seeks to restrict SNAP and Medicaid in Ohio

BY: - February 4, 2021

A Senate Republican from Lancaster is seeking to restrict eligibility requirements on poor Ohioans seeking government assistance paying for groceries and health care. The proposed legislation comes during a pandemic that has killed about 450,000 Americans. Nearly 1 in 10 households said during a survey last month that they often or sometimes don’t have enough […]

COMMENTARY
woman receiving medical care

How Ohio should value Black lives in health care

BY: - December 2, 2020

As a country, we are waking up daily to the unacceptable and completely avoidable loss of Black life. We know some of their names, like George Floyd and Breonna Taylor. But many more we sadly only know as numbers and statistics, reported as part of the daily coronavirus public health updates. What they have in […]

The Supreme Court could strike down Obamacare. Here’s what’s at stake.

BY: - November 10, 2020

WASHINGTON — The fate of the sweeping 2010 health care law known as Obamacare is again in limbo, with the Supreme Court on Tuesday set to hear arguments over whether that statute should be overturned. States are at the heart of the case and nearly every one has made an argument about why Obamacare should […]

COMMENTARY

What California v. Texas Could Mean for Ohio

BY: - November 10, 2020

Today the Supreme Court hears oral arguments in California v. Texas, a case that could determine the fate of the Affordable Care Act (ACA), the landmark legislation signed into law by President Barack Obama in 2010. As then Vice President Joe Biden, now President-Elect, said at the time, caught on a hot mic, the law […]

Ohio managed-care company makes big change to drug reimbursements

BY: - November 2, 2020

After years of complaints by community pharmacies, Ohio's largest Medicaid managed-care company has announced a huge overhaul to the way it reimburses them for prescription drugs.

Report: Rate of uninsured children rises significantly

BY: - October 12, 2020

After hitting a historically low rate in 2016, the number of uninsured children has gradually grown to eliminate progress made in the country. Ohio, alone, had a double-digit jump in the three-year study. Nationally, the rate of children not covered by medical insurance was down to 4.7% in 2016, but started to increase again the […]

Fundamental questions remain as Medicaid revamps drug spending

BY: - September 14, 2020

The Ohio Department of Medicaid is undertaking a massive overhaul of how it pays for more than $3 billion worth of prescription drugs a year. It's planning to implement the changes by March, but so far it hasn't answered basic questions about how it will be done.

Are companies being sued by Ohio also bidding on new Medicaid contract?

BY: - August 19, 2020

The Ohio Department Medicaid won't say whether it will award a big contract to companies against whom the state has filed lawsuits claiming the companies ripped off state agencies in transactions involving prescription drugs.

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 […]

After months of questions, Ohio Medicaid to start paying pharmacists for coronavirus testing

BY: - June 15, 2020

After months of questions and promises of transparency, officials with the Ohio Department of Medicaid on Monday told an obscure state committee when they’ll start reimbursing community pharmacies to test one of the state’s most vulnerable populations for coronavirus. To contend with shrinking state budgets, the department also floated the possibility of draconian cuts, including […]