Mississippi Today
Mississippi sues pharmacy benefit managers for alleged role in opioid epidemic
Attorney General Lynn Fitch filed a lawsuit Thursday against pharmacy benefit managers that alleges the companies fueled the opioid epidemic by working with manufacturers to increase sales of the addictive drugs and magnify their profits.
“They colluded with the opioid manufacturers, placed profits over safety, and engaged in a clandestine scheme to increase the sale of prescription opioids, despite the known dangers of these drugs,” the filing states.
The suit names Optum, Evernorth Health, Express Scripts and several of the companies’ subsidiaries as defendants. Optum is owned by UnitedHealth Group, and Evernorth Health and Express Scripts are owned by The Cigna Group.
Pharmacy benefit managers are the middlemen between pharmacies, drug manufacturers and insurers that negotiate drug prices, process claims for prescriptions and manage retail pharmacy networks.
The filing alleges that the companies conspired with Purdue Pharma and other opioid manufacturers to deceptively market and oversupply opioids to Mississippians. It also claims the defendants knew they were dispensing more prescription opioids than could be legitimate, contributing to an illegal secondary market.
Mississippi has the fourth-highest rate of opioid prescription rates in the nation. Sixty-four opioid prescriptions were dispensed per 100 people in the state in 2022, according to the CDC.
Mississippi is not the first state to file a lawsuit against pharmacy benefit managers for their alleged role in the opioid crisis. In June, Arkansas sued Express Scripts, Optum and their subsidiaries, citing similar claims.
Pharmacy benefit managers have faced increased scrutiny following a recent Federal Trade Commission report that suggested the companies “may be profiting by inflating drug costs and squeezing Main Street pharmacies.”
Consolidation within the industry has led to the three largest pharmacy benefit managers – UnitedHealth Group’s OptumRX, Cigna’s Express Scripts and CVS Health’s CVS Caremark – to manage nearly 80% of prescriptions filled in the U.S. in 2023, according to the report.
In June, Fitch joined an amicus brief in support of an Oklahoma law to strengthen regulations on pharmacy benefit managers, along with 31 other states.
Lawsuits filed by Fitch against companies that played a role in amplifying the opioid epidemic will yield $367 million in settlements over the next 18 years, according to the Attorney General’s Office.
“I will continue to hold these companies accountable for the role that they have played in destroying so many lives through their unfair, deceptive practices so that our state can heal from this crisis and guard against it ever happening again,” Fitch said.
A bill aimed at regulating pharmacy benefit managers in Mississippi failed during this year’s legislative session.
The Mississippi House of Representatives convened a committee aimed at studying possible changes to laws regulating pharmacy benefit managers. It will make recommendations to the Legislature for next year’s session. The committee is chaired by Rep. Jerry Turner (R-Lee) and Rep. Beth Waldo (R-Ponotoc) and began meeting this summer.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
On this day in 1946
Dec. 23, 1946
University of Tennessee refused to play a basketball game with Duquesne University, because they had a Black player, Chuck Cooper. Despite their refusal, the all-American player and U.S. Navy veteran went on to become the first Black player to participate in a college basketball game south of the Mason-Dixon line. Cooper became the first Black player ever drafted in the NBA — drafted by the Boston Celtics. He went on to be admitted to the Basketball Hall of Fame.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
Podcast: Ray Higgins: PERS needs both extra cash and benefit changes for future employees
Mississippi Today’s Bobby Harrison talks with Ray Higgins, executive director of the Mississippi Public Employees Retirement System, about proposed changes in pension benefits for future employees and what is needed to protect the system for current employees and retirees. Higgins also stresses the importance of the massive system to the Mississippi economy.
READ MORE: As lawmakers look to cut taxes, Mississippi mayors and county leaders outline infrastructure needs
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
‘Bringing mental health into the spaces where moms already are’: UMMC program takes off
A program aimed at increasing access to mental health services for mothers has taken off at the University of Mississippi Medical Center.
The program, called CHAMP4Moms, is an extension of an existing program called CHAMP – which stands for Child Access to Mental Health and Psychiatry. The goal is to make it easier for moms to reach mental health resources during a phase when some may need it the most and have the least time.
CHAMP4Moms offers a direct phone line that health providers can call if they are caring for a pregnant woman or new mother they believe may have unaddressed mental health issues. On the line, health providers can speak directly to a reproductive psychiatrist who can guide them on how to screen, diagnose and treat mothers. That means that moms don’t have to go out of their way to find a psychiatrist, and health care providers who don’t have extensive training in psychiatry can still help these women.
“Basically, we’re trying to bring mental health into the spaces where moms already are,” explained Calandrea Taylor, the program manager. “Because of the low workforce that we have in the state, it’s a lot to try to fill the state with mental health providers. But what we do is bring the mental health practice to you and where mothers are. And we’re hoping that that reduces stigma.”
Launched in 2023, the program has had a slow lift off, Taylor said. But the phone line is up and running, as the team continues to make additions to the program – including a website with resources that Taylor expects will go live next year.
To fill the role of medical director, UMMC brought in a California-based reproductive psychiatrist, Dr. Emily Dossett. Dossett, who grew up in Mississippi and still has family in the state, says it has been rewarding to come full circle and serve her home state – which suffers a dearth of mental health providers and has no reproductive psychiatrists.
“I love it. It’s really satisfying to take the experience I’ve been able to pull together over the past 20 years practicing medicine and then apply it to a place I love,” Dossett said. “I feel like I understand the people I work with, I relate to them, I like hearing where they’re from and being able to picture it … That piece of it has really been very much a joy.”
As medical director, Dossett is able to educate maternal health providers on mental health issues. But she’s also an affiliate professor at UMMC, which she says allows her to train up the next generation of psychiatrists on the importance of maternal and reproductive psychiatry – an often-overlooked aspect in the field.
If people think of reproductive mental health at all, they likely think of postpartum depression, Dossett said. But reproductive psychiatry is far more encompassing than just the postpartum time period – and includes many more conditions than just depression.
“Most reproductive psychiatrists work with pregnant and postpartum people, but there’s also work to be done around people who have issues connected to their menstrual cycle or perimenopause,” she explained. “… There’s depression, certainly. But we actually see more anxiety, which comes in lots of different forms – it can be panic disorder, general anxiety, OCD.”
Tackling mental health in this population doesn’t just improve people’s quality of life. It can be lifesaving – and has the potential to mitigate some of the state’s worst health metrics.
Mental health disorders are the leading cause of pregnancy-related death, which is defined by the Centers for Disease Control as any death up to a year postpartum that is caused by or worsened by pregnancy.
In Mississippi, 80% of pregnancy-related deaths between 2016 and 2020 were deemed preventable, according to the latest Mississippi Maternal Mortality Report.
Mississippi is not alone in this, Dossett said. Historically, mental health has not been taken seriously in the western world, for a number of reasons – including stigma and a somewhat arbitrary division between mind and body, Dossett explained.
“You see commercials on TV of happy pregnant ladies. You see magazines of celebrities and their baby bumps, and everybody is super happy. And so, if you don’t feel that way, there’s this tremendous amount of shame … But another part of it is medicine and the way that our health system is set up, it’s just classically divided between physical and mental health.”
Dossett encourages women to tell their doctor about any challenges they’re facing – even if they seem normal.
“There are a lot of people who have significant symptoms, but they think it’s normal,” Dossett said. “They don’t know that there’s a difference between the sort of normal adjustment that people have after having a baby – and it is a huge adjustment – and symptoms that get in the way of their ability to connect or bond with the baby, or their ability to eat or sleep, or take care of their other children or eventually go to work.”
She also encourages health care providers to develop a basic understanding of mental health issues and to ask patients questions about their mood, thoughts and feelings.
CHAMP4Moms is a resource Dossett hopes providers will take advantage of – but she also hopes they will shape and inform the program in its inaugural year.
“We’re available, we’re open for calls, we’re open for feedback and suggestions, we’re open for collaboration,” she said. “We want this to be something that can hopefully really move the needle on perinatal mental health and substance use in the state – and I think it can.”
Providers can call the CHAMP main line at 601-984-2080 for resources and referral options throughout the state.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
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