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The Hill
As prescription drug prices continue to rise, states are struggling to find ways to cover the costs to Medicaid, which could mean unwelcome changes for beneficiaries and health plans. With hepatitis C drugs, "prior authorization made sense," Jeff Myers, president and CEO of the Medicaid Health Plans of America, told The Hill Extra. But the EpiPen is different. "A child needs epinephrine. So [plans] will pay the price and wait for a competitor" to bring the price down, Myers said.
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STAT
Mylan Pharmaceuticals overcharged Medicaid for its EpiPen device for years, even though the company had been told it should have provided bigger rebates, a federal agency said on Wednesday. From 2011 to 2015, Medicaid paid $797 million on EpiPen, after rebates. But the federal and state health care program for the poor should have spent less because Mylan Pharmaceuticals did not pay the appropriate rebates, according to the Center for Medicare and Medicaid Services.
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Inside Health Policy (Subscription required)
Mylan is paying $465 million to settle with the Justice Department over EpiPen Medicaid rebates, the company announced late Friday (Oct. 7) while not specifying how much of that will go back to the states. The settlement resolves all potential rebate liability claims by federal and state governments over whether EpiPen should have been subject to higher rebates, and Mylan's stock shot up 10 percent in after-hour trading as of this writing.
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Omaha World-Herald
Federal officials have approved the Nebraska Department of Health and Human Services' plan to revamp how Medicaid services are managed in the state. The approval, announced Friday, clears the way for three private companies to manage both physical and mental healthcare services for Medicaid recipients across the state.
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The Associated Press
The cost of expanding Medicaid under President Barack Obama's healthcare overhaul is rising faster than expected in many states, causing budget anxieties and political misgivings. Far more people than projected are signing up under the new, more relaxed eligibility requirements, and their healthcare costs are running higher than anticipated, in part because the new enrollees are apparently sicker than expected. Rising drug prices may also be a factor.
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Georgia Health News
A legislative panel heard testimony Wednesday on ideas for reducing the high number of uninsured people in Georgia through alternatives to a standard Medicaid expansion. The Senate study committee focused on a variation of expansion that Arkansas and other states have launched
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