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OAHP has developed a new policy brief on Senate Bill 160, legislation that could affect how prescription drug costs are managed in Ohio. The goal of the bill is to make sure people can keep getting the medicines they need. We support that goal, but SB 160 would also make it harder for health plans to update their drug lists (called formularies) when prices change or when lower-cost generics become available. That means higher costs for employers and families and no real progress toward lowering drug prices. OAHP believes the focus should be on making medications more affordable, not on limiting the tools that keep costs under control. Read our policy brief at the link below. https://lnkd.in/etgf52p8

Rising prescription drug costs continue to challenge Ohio families and employers. A bill moving through the Ohio legislature, Senate Bill 207, could make that problem worse. SB 207 would ban health plans from using a tool that helps them manage high prescription drug costs. The bill is meant to help patients save at the pharmacy counter, but in reality, it would shift costs to everyone else through higher premiums. OAHP’s newest policy brief explains why the focus needs to be on lowering drug prices, not eliminating programs that help keep healthcare affordable for all Ohioans. Read our policy brief for more information. https://lnkd.in/etgf52p8

Our 2025 Annual Convention & Trade Show brought together members and partners to learn, share and connect. From candid insights on federal health policy and the youth behavioral health crisis to housing solutions and state budget perspectives, the conversations were timely and inspiring. Read CEO Kelly O'Reilly's blog for convention highlights and reflections: https://lnkd.in/epAnGzRs

Congratulations to CareSource! This Dayton-based health plan was named one of two winners of the OAHP Pinnacle Award at OAHP’s recent annual convention. The OAHP Pinnacle Award recognizes health plans for the innovative, inspiring and effective ways they’re tackling some of the toughest challenges in healthcare. CareSource won for its Housing Stability Program, which was created to prevent homelessness among CareSource members. The program, piloted with United Way of Summit & Medina, provides housing-related financial assistance to help people remain in their homes and secure stable housing. We’re so proud to see our members, which are coming up with solutions that truly drive better health outcomes for Ohio’s most vulnerable populations. Read more at https://lnkd.in/ekfaH_Rz.

In our latest guest blog, Dr. Chris Jagmin, deputy chief medical officer at Aetna, a CVS Health Company, and a practicing physician, explains how health plans can make the prior authorization process simpler, faster and more predictable without compromising clinical judgment. Aetna reviews the prior authorization requirements every year and continues to make the process simpler. Today, Aetna approves more than 95% of eligible prior authorization requests within 24 hours, and 82% of electronic requests across its commercial and Medicare businesses are approved in real time. Dr. Jagmin’s perspective is a helpful reminder that health plans and providers want the same thing: timely, evidence-based care for Ohioans. https://lnkd.in/eSTf4JHw

We’re proud to announce that Buckeye Health Plan was named one of the two winners of this year’s OAHP Pinnacle Awards at our annual convention. The Pinnacle Award recognizes health plans for the innovative, inspiring and effective ways they’re tackling some of the toughest challenges in healthcare. Buckeye Health Plan won for its Healthy Homes program, which supports pediatric Medicaid members who have frequent asthma-related emergency room visits. Through in-home visits, environmental interventions, education and care coordination, the program has reduced ER visits among program participants by 75%. At the same time, asthma-related healthcare costs fell 87.3%. We’re impressed by our member health plans, who are using relatively simple but very effective solutions to solve the complex problems that keep people from getting and staying healthy. https://lnkd.in/ekfaH_Rz