<strong>The report says pharmacy benefit managers are able to conceal prices from the Oregon Health Authority through non-disclosure agreements between other entities in the states complex Medicaid network, and recommended fixes.</strong>
The Oregon Health Authority released its audit of the state of its Medicaid managed care program this month, and unsurprisingly the findings were problematic. You can read it in full here, but here are the highlights:
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Since July 5, Becker s has reported on 12 healthcare billing fraud cases, including a call center owner and employee pleading guilty to their roles in a $67 million scheme.