Though the flurry of state PBM-focused legislation slowed down with the summer recess, there has still been plenty of noteworthy PBM news. This roundup focuses on state Medicaid.
Though the flurry of state PBM-focused legislation slowed down with the summer recess, there has still been plenty of noteworthy PBM news. This roundup focuses on state Medicaid enforcement.
Centene is subject to several state investigations alleging Centene’s managed care organizations and Centene’s PBM participated in state specific schemes to misrepresent pharmacy costs. There are state and federal PBM legislative changes in Delaware, New Jersey and Pennsylvania.
On September 29, 2022, Massachusetts Attorney General Maura Healey announced that Medicaid managed care and pharmacy benefits giant Centene Corporation agreed to pay $14 million.