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Cigna Names Robert Pettigrew President of Medicare Advantage Plans in Alabama, Mississippi, Northwest Florida
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Centene s corporate greed led it to allegedly overcharge Ohio s Medicaid department
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Ohio Attorney General Dave Yost has filed suit against Centene Corporation. (fotoguy22/Getty)
Ohio Attorney General Dave Yost has filed suit against Centene and several of its subsidiaries, alleging that they schemed to misrepresent pharmacy costs and gain overpayments from the state s Medicaid program.
According to the lawsuit, Centene subsidiary Buckeye Health Plan used sister companies Envolve Health Solutions and Health Net Pharmacy Solutions to administer its pharmacy benefit. Yost s office said it began to investigate their business practices as the arrangement raised questions.
In a statement, Yost s office said the investigation, which was conducted by outside counsel, found that the companies filed reimbursement requests for amounts that had already been paid by third parties, and failed to accurately represent costs to the Ohio Department of Medicaid.
Parties with antitrust claims against bankrupt drugmaker Mallinckrodt and mail order pharmacy Express Scripts are asking a Delaware district court to remove Arnold & Porter as special counsel in the Mallinckrodt Chapter 11 case for alleged conflicts of interest.
Michigan committee hears testimony on bill that would regulate PBMs Mansur Shaheen | Mar 11, 2021
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Testimony for HB 4348 was heard by the Michigan House Committee on Health Policy on Wednesday. The bill, which was introduced by Rep. Julie Calley in February, would require Pharmacy Benefit Managers (PBMs) to be licensed and regulated in Michigan.
Representative Calley explained what PBMs are to the committee on Wednesday, while also giving reasons for why she believes they need to be regulated:
“There is a middleman that many of us are not aware of [in pharmacy]. Certainly, our constituents are not.
So let’s say your beloved aunt goes to the doctor and it’s determined that they need another prescription. Most of us assume that when that script is presented to the pharmacy it’s the health plan who is determining what drugs are covered and at what cost. That’s actually not the case, what Americans pay at the pharmacy counter is determined by a compl
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