UnitedHealth Group

Antitrust regulator takes aim at drug middlemen

BY: - September 30, 2022

The newest member of the Federal Trade Commission last week said that for decades his agency hasn’t served the historical mission of the agency — fairness. And in decrying the rise of megacorporations that dominate vast ranges of services in some economic sectors, he cited pharmacy middlemen as exhibit A. Alvaro Bedoya in May was […]

With new acquisition, CVS to get bigger and broader, raising concerns

BY: - September 14, 2022

When CVS Health announced last week that it was buying Signify Health for $8 billion, executives with both companies said it will help them to more effectively deliver care. But some observers are concerned that it means CVS and rival UnitedHealth Group are extending their dominance into yet another aspect of American health care. Dallas-based […]

Feds to probe drug rebates

BY: - June 20, 2022

The Federal Trade Commission last week announced what some observers believe could be a game-changer when it comes to the rising cost of prescription drugs. The agency — which is meant to protect fair competition — said it would look into the murky practice by which drugmakers grant rebates and other fees to insurer-owned pharmacy […]

Medicaid director owned stock in companies she awarded huge contracts

BY: - May 17, 2022

Ohio Medicaid Director Maureen Corcoran won’t discuss them, but state ethics filings she submitted on Sunday showed that she continued to own stock in three huge health care companies last year — the same year she negotiated and signed billion-dollar contracts with their subsidiaries. Outside ethics experts have said it’s a clear conflict of interest […]

Government watchdog: Health care giants improperly denied Medicare benefits

BY: - May 6, 2022

The health care companies offering Medicare Advantage plans improperly denied services and payments at what might seem an alarming rate during a one-week test period in 2019, according to a government report released last week. The companies — many of which are also major players in the Ohio Medicaid system — improperly denied payment 18% […]

Louisiana sues health care company over practices under investigation in Ohio

BY: - April 22, 2022

Louisiana is suing health care giant UnitedHealth over several business practices, saying it is seeking “to recover billions of dollars in inflated prescription-drug prices” for the state Medicaid program. Among its allegations, the state accuses the company of gaming federal oversight reports meant to ensure that at least 85% of the money it gets from […]

Mississippi House votes to cut ties with provider accused of fraud

BY: - February 15, 2022

The Mississippi House of Representatives last week voted overwhelmingly to cut ties with a Medicaid provider that last year agreed to pay the state $55 million to settle claims that it fraudulently inflated the cost of prescription drugs. Ohio is the only state to actually sue over such claims and last year St. Louis-based Centene […]

Experts: DeWine’s son, Medicaid director both have clear conflicts

BY: - February 14, 2022

(The original version of story misattributed a statement by Ohio Supreme Court Justice Pat DeWine to a spokeswoman for the court, who does not speak for him. This version is updated.) The administration of Gov. Mike DeWine is making history, but perhaps for the wrong reasons. Two DeWine appointees have figured in what federal law […]

DeWine: Additional transparency not needed in massive Medicaid contracts

BY: - January 24, 2022

Ohio Medicaid Director Maureen Corcoran apparently held stock in two huge health companies last year as she negotiated and signed multi-billion-dollar contracts with their subsidiaries. But she has refused to say how much she owned as she signed the deals. Nor will the man who appointed her, Gov. Mike DeWine, say he thinks Corcoran should […]

Medicaid giant settles with fifth state

BY: - December 8, 2021

Centene, the nation’s largest Medicaid managed-care provider, has settled fraud allegations with a fifth state, Kansas Attorney General Derek Schmidt announced Monday. The $27.6 million Kansas settlement comes after Mississippi, Illinois and Arkansas announced settlements totaling $154 million. All of those follow a settlement with Ohio — the only state to actually sue the company […]

Big questions remain in huge Medicaid procurement

BY: - November 29, 2021

A Franklin County judge earlier this month dismissed a lawsuit over the largest public procurement in Ohio history. But important questions remain about potential corruption and conflicts of interest among key players who had a say in how the contracts were awarded. It’s unclear whether those questions will be answered. In April, the Ohio Department […]

Ohio Medicaid: It’s not a conflict if you only own stock in the parent company

BY: - November 9, 2021

Ohio Medicaid Director Maureen Corcoran didn’t have a conflict of interest when she signed multi-billion-dollar contracts earlier this year, her department’s attorneys are arguing. That’s because she only owns stock in parent corporations — not their Ohio subsidiaries to whom she awarded contracts. The department made the argument in a Friday motion in a court […]