Datapoint: Ohio Sues Centene for Medicaid ‘Scheme’

Ohio Attorney General Dave Yost (R) on March 11 revealed the state is suing Centene Corp. “for an elaborate scheme to maximize company profits at the expense of the Ohio Department of Medicaid.” The state alleges Centene profited from overpayments, using subcontractors to misrepresent pharmacy costs by millions of dollars. Centene’s Buckeye Health Plan is one of five contracted Medicaid payers in the state, and currently serves 344,758 lives, about 14% of the managed Medicaid population.

Source: AIS’s Directory of Health Plans