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It provides pharmacy benefit manager services through its Envolve Health unit. Pharmacy benefit managers PBMs are companies that act as intermediaries between drug sellers, health plans and pharmacies to negotiate prices. Ohio sued Centene in March, alleging that Centene overcharged the state for PBM services, using a network of subcontractors to conceal its true costs.
It said the company filed reimbursement requests for money already paid by third parties, failed to disclose discounts it received and reported inflated pharmacy dispensing fees. Mississippi revealed earlier this year that it was investigating similar conduct. Case and counsel information for the Missouri settlement were not immediately available. The Ohio case is Ohio Department of Medicaid et al v. Read more:. Thomson Reuters. Brendan Pierson reports on product liability litigation and on all areas of health care law.
He can be reached at brendan. In Ohio and Mississippi, the company has renewed key state managed-care contracts after settling the pharmacy benefit allegations. An undisclosed portion of the Texas prescription drug settlement is expected to go to the federal government because of its role in helping finance Medicaid.
Pharmacy benefit managers in general have drawn increasing scrutiny and criticism. The Federal Trade Commission announced in June that it was launching an investigation into the pharmacy benefit management industry and its impact on consumer access to prescription drugs and medication costs.
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We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well. Centene offers affordable and high-quality products to nearly 1 in 15 individuals across the nation, including Medicaid and Medicare members including Medicare Prescription Drug Plans as well as individuals and families served by the Health Insurance Marketplace, and the TRICARE program.
For more than 30 years, Centene has operated government-sponsored healthcare programs that save money and improve medical outcomes. We deliver results for our stakeholders, including state governments, members, healthcare providers, individuals and families, and other healthcare and commercial organizations. We know that each state, individual and family is unique and that collaboration is key to removing barriers to health and providing access to the best care for every person.
As a diversified healthcare enterprise, Centene is committed to helping people live healthier lives. Watch how we provide access to a wide range of health solutions that help families and individuals get well, stay well, and be well.
Sunflower Health Plan, Centene's Kansas subsidiary, helped Jacob, an outgoing teenager with Duchenne muscular dystrophy, access both levels of his family's home and live as independently as possible. Advocating for the Mental Health of Medicare Recipients. Get to know us and hear from our interns and Talent Attraction team on what life is like at Centene. Media player. Making an Impact via Tech. Hear from Katie H. Professional Development. Interns leverage mentoring opportunities, networking, and continued learning workshops to build their own community.
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