Medicare enrollees living in communities of color and with high rates of poverty had less access to top-rated Medicare Advantage plans last year than those living in wealthier places that are majority white.
Medicare Advantage is intended to prevent insurers from favoring healthier people, but it also leaves room for insurers to make more money by making their patients appear as sick as possible.
At issue is the relationship between the PBM and group purchasing organization that allegedly obscured rebates paid by drug manufacturers but that should have been sent on to the state.