OptumRx denies settlement in Ohio overcharging case

UnitedHealth Group’s OptumRx arm is denying it agreed to pay $15 million to settle overcharging allegations, the Ohio Capital Journal reported Oct. 27. 

Advertisement

The Ohio Attorney General’s Office said in an Oct. 25 news release the pharmacy benefit manager had agreed to pay that sum to settle allegations it overcharged the state’s Bureau of Workers Compensation $15.8 million from 2015 to 2018. 

However, an Optum spokesperson told the news outlet a final agreement with the attorney general’s office had not been reached and that the company continues to dispute the allegations. 

An Ohio attorney general’s office spokesperson told the news outlet the office did not anticipate that OptumRx would deny the case had been settled. 

“We were surprised to see a statement from OptumRx saying that they thought we didn’t have a deal,” the spokesperson told the Ohio Capital Journal. “An agreement was reached. We are in conversations with OptumRx today to determine why they are trying to back out.”

At the Becker's 5th Annual Fall Payer Issues Roundtable, taking place November 2–3 in Chicago, payer executives and healthcare leaders will come together to discuss value-based care, regulatory changes, cost management strategies and innovations shaping the future of payer-provider collaboration. Apply for complimentary registration now.

Register to Attend Webinar

Read. Deleted. Ignored. What It Takes to Drive Behavior Change and Lower the Cost of Care

Tuesday, August 4
11:00 AM - 12:00 PM CDT

Presenters: Koleen Cavanaugh, Independence Blue CrossBukata Hayes, HMO Minnesota (Blue Plus)Nathan Foco, Select HealthTrish Cox, SCAN Health PlanJonas Puente, ZS Associates

Advertisement

Next Up in Payer

Advertisement

Comments are closed.