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Centene s corporate greed led it to allegedly overcharge Ohio s Medicaid department

Centene s corporate greed led it to allegedly overcharge Ohio s Medicaid department
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Ohio AG Yost files suit against Centene, launching latest salvo in his war on PBMs

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.

Ohio AG sues Centene, alleging misrepresented pharmacy expenses cost Medicaid millions

Ohio AG sues Centene, alleging misrepresented pharmacy expenses cost Medicaid millions Centene called the allegations unfounded and pledged to aggressively defend its pharmacy services. , Associate Editor Ohio Attorney General Dave Yost filed a lawsuit this week against health insurer Centene, alleging that company subsidiary Buckeye Health Plan utilized a web of subcontractors for the provision of pharmacy benefits in order to misrepresent pharmacy costs, resulting in millions of dollars of overpayments by the Ohio Department of Medicaid. Yost said in a statement on Thursday that Centene materially breached its obligations to the state Medicaid program and to the state as a whole, calling it a conspiracy and a complex scheme to obtain Medicaid payments through deceptive means.

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