Audit Topic

Pharmacy Benefit Managers

Medicaid audit reports involving pharmacy benefit managers, drug rebates, pharmacy claims, spread pricing, and pharmacy oversight.

PA
2024
Featured

Performance Audit Report: Pharmacy Benefit Manager Services for the Physical HealthChoices Medicaid Program in Pennsylvania

Pennsylvania Department of the Auditor General
Published 2024

The audit identifies three findings with 17 recommendations. DHS generally disagreed with Finding 1 and agreed with Finding 2; PerformRx generally agrees with Finding 3. The auditors note ongoing conc...

MD
2024

Maryland Department Of Health Pharmacy Services Audit Report

Office of Legislative Audits, Maryland General Assembly
Published 2024

MDH’s pharmacy services program exhibits governance and control weaknesses across manual claims processing, provider licensure verification, program audits, and MADAP rebates, leading to substantial o...

OR
2023

Poor Accountability and Transparency Harm Medicaid Patients and Independent Pharmacies

Oregon Secretary of State
Published 2023

The audit identifies Oregon’s Medicaid PBM framework as overly complex and insufficiently transparent, with limited direct oversight of PBMs by OHA. The report recommends a shift toward stronger patie...

TX
2022

An Audit Report on Cook Children’s Health Plan, a Managed Care Organization

Texas State Auditor’s Office
Published 2022

Cook Children’s Health Plan accurately reported STAR Kids medical and pharmacy expenses in FY 2020 and complied with eligibility requirements for medical and pharmacy claims. However, improvements are...

TX
2021
Featured

An Audit Report on Blue Cross Blue Shield of Texas, a Managed Care Organization

State Auditor’s Office
Published 2021

The audit found that while the Health Plan accurately reported medical, administrative, and quality improvement expenses, its pharmacy expense reporting was flawed due to unallowable practices by the ...