Could this be the FIRST PBM that they have caught with their hand “in the cookie jar” and apparently the only way that this PBM – and maybe other PBM’s can show a profit that they want/expect is to OVERBILL ? But something tells me that there will be “more dominoes to fall ” I have noticed that in the last couple of years… the major PBM’s have been acquired or merged with mostly very large insurance companies… maybe so that they can “bury” – what some believe is obscene profits – in the parent corporation financial statements. Only time will tell on this… but… it would seem that numerous bureaucratic entities are taking ever closer looks at many of these PBM’s.
Centene, the nation’s largest Medicaid managed care company, is planning to stop its work as a PBM, according to reporting in the Ohio Capital Journal. Executives last week said the company is issuing a $30 billion request for proposals in 2022 for an outside contractor to take over the work. Centene settled a suit with Ohio over over billing in Medicare earlier this year for $88 million but admitted no wrongdoing. Centene also agreed to multimillion dollar settlements with Mississippi, Arkansas, and Illinois over billing inaccuracies.
Filed under: General Problems
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