UnitedHealth Group

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 […]

Disappointed Medicaid bidder focuses on inconsistencies

BY: - October 14, 2021

A Toledo company that’s trying to stop a group of contracts worth billions from going forward on Wednesday focused on what it saw as inconsistencies in the way the Ohio Department of Medicaid procured them. And it again hinted at possible improprieties by Medicaid Director Maureen Corcoran. It was the second day in a trial […]

Ohio’s Medicaid director owns the stock of some major contractors, but won’t say how much

BY: - October 6, 2021

Since she became director of the Ohio Department of Medicaid in January 2019, Maureen Corcoran has owned stock in some of the department’s biggest contractors. Given the size of those contracts, they could have increased the value of the stock Corcoran owned. But while she complied with one set of state disclosure requirements, Corcoran won’t […]

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.