pharmacy benefit manager News

Managed Care Firm Centene to Pay $55.5M to Settle Mississippi Overcharging Claim

JACKSON, Miss. โ€” A managed care company has agreed to pay Mississippi $55.5 million to settle a lawsuit that accused one of its subsidiaries of overcharging the state’s Medicaid program for pharmacy benefits management. Attorney General Lynn Fitch and Auditor …

Ohio Sues Pharmacy Benefit Manager over $16M in Alleged Drug Overcharges

Ohio is suing a company that managed prescription benefits for the state Bureau of Workers’ Compensation, seeking to recover nearly $16 million in alleged overcharges for the fund for injured workers. Attorney General Dave Yost says OptumRx Administrative Services managed …

ExpressScripts to Acquire Benefits Manager eviCore

Express Scripts said on Tuesday it would buy privately-held specialty healthcare benefits manager eviCore healthcare for $3.6 billion to bolster its medical benefits management business, with the deal adding to adjusted earnings in the first full year. Reuters reported in …

Here’s What’s Happening with Drug Costs in Workers’ Compensation

Overall pharmacy spending increased 2.2 percent for U.S. workers’ compensation payers in 2015 due to higher drug prices, according to a report by benefit manager Express Scripts. That overall increase was a function of 2.6 percent lower injured workers’ drug …

U.S. Spending on Specialty Medications Will Rise 67%: Report

Spending in the U.S. on specialty drugs used to treat serious diseases is projected to increase 67 percent by the end of 2015, according to a forecast by pharmacy benefit management firm Express Scripts. Specialty medicines are those used to …

Mississippi Pharmacists Battle Benefit Managers, Mail Order Drug Firms

Pharmacists want Mississippi lawmakers to force an end to limits on where people covered by certain insurance plans can get prescriptions filled. However, lobbyists for some pharmacy benefit managers say the state can’t legally regulate certain insurance plans because they’re …