...formulary includes both brand-name drugs and generic drugs. Generic drugs have the same active ingredients as brand-name drugs. Generic drugs usually cost less than brand-name drugs and are rated by...

...and operations team. Understanding the balance between cost-effective care and quality patient care remains one of the main goals of this rotation. This experience equips students with a greater understanding...

...Member Responsibilities As a member of our health plan you must also be sure to: Get familiar with your covered services and the rules you must follow to get these...

...our network only those providers who: Have been appropriately credentialed by the CVO; Maintain a current license; and Have appropriate locations to provide covered services to our members. To begin...

...protected from surprise billing or balance billing. What is “balance billing” (sometimes called “surprise billing”)? When you see a doctor or other health care provider, you may owe certain out-of-pocket...

...of pharmacy. Connecting with our communities as a plan is integral in providing better care for our members. CareSource values our pharmacy community, through working with students, residents and pharmacists...

You + CareSource. Better Together. Managing your Medicare and Medicaid benefits can be overwhelming, but with our new CareSource® MyCare Ohio (HMO D-SNP) plan, you can not only simplify your...

...Medicaid benefits. Starting April 1, 2026 and continuing throughout the year, the program will become available statewide. The goal is to improve health and wellness outcomes by focusing on individual...

...your practice providing the best care for our members. For routine vision services, updates will be issued via the EyeMed webpage. TRICARE Prime® Demo by CareSource Military & Veterans™ covers...

...regulatory agencies. A seasoned government programs executive, Scott brings 25 years of experience in managing health plan P&L, developing provider networks, building specialty health plans and overseeing financial reporting. In...