Research Reports | Market Access
July 2023

Ohio | 2023 | 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, while CareSource, the state's largest Medicaid MCO, switched PBMs. Even though many residents lost their employer coverage due to the pandemic, off-exchange commercial enrollment more or less remained the same. Although the insurers with the cheapest exchange plans (like Molina) or expanded options (Anthem offering virtual primary care options) could see some uptake.

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