Ohio | 2021 | Health Plan Analysis (Event Driven)

Ohio Medicaid will end its current pharmacy benefit manager contracts to switch from spread pricing to a pass-through model, and MCO contracts went into competitive bidding, while CareSource, the state's largest Medicaid MCO, switched PBMs in 2020. Ohio's commercial market has remained stable, although more employer groups could turn to non-ACA-compliant association health plans offered through numerous trade groups if coverage proves cheaper.