January 2, 2013 – Ohio is prepared to move forward with certain Medicaid contracts after a court ruled in the state’s favor in a dispute over how the contracts were awarded. Amerigroup, a company that claimed it was improperly denied a contract under what it said was a flawed process, had sued the state’s Department of Job and Family Services alleging abuse of discretion in how the state scored applications. The companies awarded contracts will provide health care services to more than 1.6 million poor and disabled people, more than two-thirds of Ohio’s Medicaid population. The remaining Medicaid beneficiaries receive care under a fee-for-service model, in which doctors are reimbursed for each service through provider agreements with Ohio Medicaid.
Link to Full Article: http://www.modernhealthcare.com/article/20130102/INFO/301029919