Ohio Medicaid

CEO of health company accused of bilking Ohio taxpayers stepping down

BY: - December 15, 2021

Six months after setting aside $1.25 billion to settle fraud claims with Ohio and 21 other states, the CEO of the nation’s largest Medicaid managed-care company has announced his retirement. Despite the scandal, Ohio continues to contract with the company. And although Centene denies it’s the case, the problems might have played into the CEO’s […]

Are companies still inflating the cost of Medicaid drugs? 

BY: - November 4, 2021

Last week, Ohio Medicaid Director Maureen Corcoran revealed something with potentially far-reaching implications: When her department calculates how much to pay managed-care companies she’s not sure if it it knows the true cost of the prescription drugs for which it is shelling out billions. If the drug middlemen hired by Ohio’s Medicaid managed-care contractors are […]

After Ohio scandal, Medicaid managed-care giant to exit the pharmacy business

BY: - November 2, 2021

Centene, the nation’s largest Medicaid managed-care company, is planning to stop its work as a pharmacy middleman, or pharmacy benefit manager. Executives last week said the company is issuing a $30 billion request for proposals from an outside contractor to take over the work. The news comes after Ohio Attorney General Dave Yost sued the […]

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 […]

Bias, conflict were present in $22 billion Ohio Medicaid contract, bidder says

BY: - October 13, 2021

A Toledo-area health care provider says that it’s received top ratings in the eight years it’s provided managed-care services to the Ohio Medicaid program. It hinted that it was the victim of bias and possible conflicts of interest earlier this year when it missed out on a share of a five-year, $22 billion program meant […]

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 […]

Medicaid department mum on contacts with DeWine-connected lobbyist

BY: - October 4, 2021

A close, long-standing friend of Gov. Mike DeWine registered early this year to lobby on behalf of a giant Medicaid provider — just before Attorney General Dave Yost accused the company of ripping off tens of millions of taxpayer dollars. The company, St. Louis-based Centene, later agreed to pay out $88 million to Ohio and […]

Ohio economists say state’s pandemic spending cuts won’t help the economy

BY: - August 19, 2021

In May 2020, Ohio Gov. Mike DeWine announced $775 million in state spending cuts in the face of what he expected to be lower tax revenues due to economic dislocation caused by the coronavirus pandemic. The cuts included $300 million whacked from K-12 education and $210 million from Medicaid, the health program for the poor. […]

Ohio Senate leadership wants no additional $ for broadband expansion

BY: - June 2, 2021

Lawmakers from both parties had been hopeful Ohio would take a big step forward this year to invest in broadband internet expansion throughout the state. Leaders in the Ohio Senate think otherwise. While their counterparts in the Ohio House of Representatives want to allocate millions of dollars for internet expansion projects, Republican state senators want […]