Consultants Sought To Help Settle Fierce Dispute Over Pharmacists’ Medi-Cal Reimbursement Rates
Pharmacists have for months said the new reimbursement rates that were established after OptumRx took over control of reimbursement as the new pharmacy benefit manager for the Gold Coast Health Plan's medication program are far below what they need to stay afloat.
Ventura County Star:
Commissioners Ask For Answers On Pharmacists' Pay Complaints
After another round of pleas from pharmacies claiming low prescription reimbursements could push them out of business, leaders of a Medi-Cal commission said they need outside analysis to get to the bottom of the issue. Members of the Ventura County Medi-Cal Managed Care Commission directed staff Monday to pursue outside consultants to study the repeated complaints of independent pharmacists about a steep drop in reimbursement. Rates fell this summer when OptumRx took over control of reimbursement as the new pharmacy benefit manager for the Gold Coast Health Plan's medication program. (Kisken, 12/5)