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In the United States, a pharmacy benefit manager (PBM) is a third-party administrator of prescription drug programs for commercial health plans, self-insured employer plans, Medicare Part D plans, the Federal Employees Health Benefits Program, and state government employee plans.
Delaware, Idaho, Nebraska, Pennsylvania and Wisconsin joined more recently for a total of seven participants as of April 2009. Sovereign States Drug Consortium (SSDC) was founded as a non-profit structure by the states of Iowa, Maine, and Vermont for Medicaid in October 2005. Iowa, Maine, Oregon, Utah, Vermont, West Virginia and Wyoming are ...
CareSource is a nonprofit that began as a managed health care plan serving Medicaid members in Ohio. Today, it provides public health care programs including Medicaid, Medicare, and Marketplace. The company is headquartered in Dayton, Ohio. It is the largest Medicaid plan in Ohio and is second largest in the United States. [2] [3]
The Centers for Medicare and Medicaid Services (CMS) estimated that the cost of expansion was $6,366 per person for 2015, about 49 percent above previous estimates. An estimated 9 to 10 million people had gained Medicaid coverage, mostly low-income adults.
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Medicaid consists of three different plans that are characterized to fit differing needs. [3] The principal plan for children is the Medicaid Basic Plan. “The Medicaid Basic Plan is for healthy low-income children and adults with eligible dependent children. This plan provides complete health, prevention, and wellness benefits for children ...
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