STAT+: Ohio attorney general sues a health plan over its PBM contracts and Medicaid costs

In the latest bid to pull back the curtain on pharmacy benefit managers, the Ohio attorney general filed a lawsuit claiming a health insurer called Centene (CNC) misrepresented pharmacy costs that caused the state Medicaid program to spend millions of dollars unnecessarily.

The lawsuit alleges that a managed care plan called Buckeye Health Plan used a “web of subcontractors” to provide prescription drug benefits to the state Medicaid program. In the process, Buckeye collected $20 million that raised concern among state officials, a finding that came to light during an audit that was conducted in 2018.

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STAT+: Ohio attorney general sues a health plan over its PBM contracts and Medicaid costs

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