Letter: Get rid of managed care
topical

Letter: Get rid of managed care

{{featured_button_text}}

Most people in Illinois probably do not know what managed care Medicaid is or what a pharmacy benefit manager does. Managed care organizations (MCOs) get paid by the state (the taxpayer) to administer the Medicaid benefit to Illinois residents. Pharmacy benefit managers (PBMs) administer the prescription benefits on behalf of health plans and MCOs.

Sometimes the MCO and PBM are the same company. By paying these MCOs, the state is supposed to save money. In the case of prescriptions, we taxpayers are getting taken advantage of. These MCOs pay pharmacies at a terrible rate, often below the pharmacy's cost of a medication. They then turn around and charge the state a higher amount for that medication than was paid to the pharmacy. This is called "the spread." The spread is one way these MCOs bilk the state out of millions of dollars each year.

Other states have figured this out and have, or are in the process of, firing these MCOs. Ohio found an average spread of 8.9% per prescription, or $224 million per year. Yes, the state paid $224 million more to the MCOs than what was paid to the pharmacies that year.

Illinois already had financial problems before the pandemic, and things will be worse going forward. We need to act now and fire the MCOs. This will save the state (taxpayers) money and help prevent pharmacies from going out of business due to below cost payment from these plans.

Nathan Vorac

Geneseo

10
0
1
0
24

Catch the latest in Opinion

* I understand and agree that registration on or use of this site constitutes agreement to its user agreement and privacy policy.

Related to this story

Most Popular

Don Wooten’s recent screed on the editorial page is the now trendy thing among liberals: He apologized for being white in the South during his youth. If he wanted to genuinely apologize, he could have laid out a history of those responsible, one hundred years following the Civil War and Lincoln’s signing of the Emancipation Act, for keeping Southern blacks in a more subtle form of slavery.

Davenport’s leaders want to fix something that’s not broken again. You want to change 3rd and 4th streets from one-ways to two-ways at a cost of $1.1 million to us taxpayers. This only benefits the YMCA and maybe the Viking Cruise Lines at Heritage Park (which we can’t even get to right now). How about we spend that money fixing more streets, something that benefits everyone in Davenport including the so-called tourists? Davenport wasted a ton of money on the Skybridge to nowhere, River Drive’s “flowerpot” medians that had to be partially removed and the who-knows-what-they-are in the former parking lot south of River Dr. between Main and Iowa St.

I lost a friend this week. At my age, 70, that’s not unusual. But he was half my age. Thirty-four. He died from COVID-19. He was healthy. One day he spiked a fever; a week later, he took his last breath. Now, five children, under the age of 10, have lost their daddy, their breadwinner, their sense of security and safety.

  • Updated

Since an increasing majority of citizens recognize the incompetence and lack of basic decency of Donald Trump the main question now is, What next?

For voters in Rock Island County this election can (and will) set the stage for our future and that of the next few generations. If you are one of the 73% of voters who voted in 2012 to downsize the county board, you need to ask your candidate where they stand on this issue. Since its inception, this was designed to happen after the 2020 census and before the 2022 election. That is where we are now. The suggested number of district board members was 15. We may decide to change to multiple member districts and design five districts with three members per district, or three districts with five members each. The main question is, who will do this and how? Who will provide the oversight? Will there be safeguards against gerrymandering? Where are we in this process? Be sure to ask your candidate IF they support this venture and will they guarantee that they will pursue the issue. If they do not support this concept, Do not give them your vote or support! We took a terrible beating on our Hope Creek adventure and we cannot afford this type of management! The county courthouse still looms over our heads and stands as another example of our past failures!

A group of unmasked people approached Scott County Supervisor Ken Croken in front of the Scott County Administration Building on Tuesday to object to Croken's motion to make masks mandatory when out in public. A woman asked why Croken thought he could “legislate what people want to do with their bodies.” Well, that objection doesn't hold water, if you take the word of Republicans who are anxious to legislate exactly what a woman wants to do with her body. Suddenly a whole new group of people are pro-choice! I can agree with that.

We wonder how things got to be like this. We forgot that words have impact. Words have meaning. Silence has impact and meaning too. We have separate "news" networks to feed us the version of "facts" we wish to hear. Left vs Right. Our team vs their team. Our cable news shows vs theirs. Our newspapers and magazines vs theirs. Our talk radio vs theirs...

Get up-to-the-minute news sent straight to your device.

Topics

News Alerts

Breaking News