Mississippi

Optum audit shows possible law violation, lower payments to independent pharmacies

Published

1 year ago

November 7, 2024

Optum audit shows possible law violation, lower payments to independent pharmacies

The findings of a recent audit of a major company that manages prescription benefits revealed it may have violated Mississippi law.

The review of Minnesota-based Optum’s business practices by the Mississippi Board of Pharmacy indicated that the company paid independent pharmacies in Mississippi rates lower than chains and Optum-affiliated pharmacies for the same prescription drugs.

The audit uncovered over 75,000 instances in which Optum-affiliated pharmacies’ lowest payments for a prescription drug were higher than at unaffiliated pharmacies in one year, including chain and independent drug stores.

Mississippi state law prohibits pharmacy benefit managers from reimbursing their affiliate pharmacies, or ones they own, at higher rates than non-affiliate pharmacies for the same services.

In some cases, patients footed the bill: consumers were almost twice as likely to pay the full cost of a prescription drug claim without contributions from their insurance plan at independent pharmacies than at affiliated pharmacies.

The Board of Pharmacy will hold an administrative hearing based on the alleged violations of Mississippi law on Dec. 19. Board staff declined to answer questions about the audit or its findings.

“I think this proves that we need to have more transparency, we need to have more PBM reform in Mississippi and across the country and even on a federal level,” said Robert Dozier, the executive director of the Mississippi Independent Pharmacy Association, an organization that advocates for 180 pharmacy members.

Optum declined to answer specific questions about the audit. The company has identified errors in the audit’s findings and methodology and submitted them to the Board of Pharmacy, said Isaac Sorenson, a spokesperson for Optum.

“The pharmacy – and local pharmacists – play a vital role in supporting people’s health and we are committed to paying them fairly,” he said. “…For pharmacies in rural and underserved communities, Optum Rx is deepening its commitment to support their role by launching new programs, expanding existing initiatives and launching a new pharmacy network option for customers.”

He said the new pharmacy network option will provide pharmacies with increased reimbursements. Generic drugs will be reimbursed at 5% higher rates and brand name drugs at .2% higher rates.

Optum is owned by health care behemoth UnitedHealth Group Inc., the U.S.’ most profitable health care company and the owner of the nation’s largest health insurance company, UnitedHealthcare. In 2023, the company reaped $32.4 billion in earnings.

Pharmacy benefit managers are private companies that act as middlemen between pharmacies, drug manufacturers and insurers. They process prescription drug claims, negotiate pricing and conditions for access to drugs and manage retail pharmacy networks.

Optum is one of the largest three pharmacy benefit managers in the U.S., which together account for 79% of prescription drug claims nationwide.

The results of the audit echoed some of the conclusions of a Federal Trade Commission report published in July: large pharmacy benefit managers pay their own, affiliated pharmacies significantly more than other pharmacies and set reimbursement rates at untenably low levels for independent drug stores, or retail pharmacies not owned by a publicly traded company or owned by a large chain, said the report.

Mississippi Today reported last month that many Mississippi independent pharmacists fear they may be forced to close their businesses due to low reimbursement rates from pharmacy benefit managers.

Pharmacy benefit managers have an incentive to steer customers towards their affiliate pharmacies and compensate them at higher rates, which can disadvantage unaffiliated pharmacies and lead to higher drug costs, said the Federal Trade Commission.

Optum’s affiliate pharmacies include Optum Home Delivery Pharmacy and Optum Specialty Pharmacy.

The audit revealed that Optum uses 49 different maximum cost lists, or schedules created by pharmacy benefit managers that determine the highest price they will pay pharmacies for generic drugs. Maximum cost lists are proprietary and confidential, even to the pharmacies that are reimbursed based on the lists, and change continuously.

“I think that’s 48 too many,” said Dozier. “There should only be one MAC list.”

Fifteen are used exclusively at independent pharmacies and 22 are used solely at chain pharmacies.

An analysis of the maximum allowable cost lists showed that independent pharmacies were reimbursed at rates 74% lower than chain pharmacies on average.

An analysis of a generic drug used to treat bacterial infections yielded a payment to an Optum-affiliated pharmacy that was eight times higher than the lowest-paid independent pharmacy on the same day. Chain and affiliate pharmacies were paid over 20 times as much as independent pharmacies for a generic drug used to treat stomach and esophagus problems.

Pharmacies’ attempts to contest low reimbursement rates were often unsuccessful, showed the audit.

Ninety-eight percent of pharmacy appeals were denied, most commonly because they did not include information about how much the pharmacy paid to acquire the medication from a wholesaler.

Mississippi law prohibits pharmacy benefit managers from reimbursing pharmacies at rates below their cost to acquire the drug, even when using a maximum allowable cost list. But the audit revealed over 400 times that Optum denied pharmacies’ appeals on those grounds, saying that the maximum cost list was accurate.

The audit, which studied Optum in 2022, was the first commissioned by the Mississippi Board of Pharmacy after revisions to state law in 2020 gave it more regulatory authority over pharmacy benefit managers.

It took the board several years to hire staff to enact the law and receive approval to increase its budget due to the high costs of audits, the board’s executive director Susan McCoy told lawmakers at the House Select Committee on Prescription Drugs Aug. 21 at the Capitol.

The board also has pending administrative proceedings with the other largest pharmacy benefit managers in the country, Express Scripts and CVS Caremark. Neither is the result of an audit. Both hearings are scheduled for Nov. 21.

Optum has already faced scrutiny for its business practices in Mississippi. In August, Attorney General Lynn Fitch filed a lawsuit alleging that Optum and several other pharmacy benefit managers stoked the opioid epidemic by plotting with manufacturers to increase sales of the addictive drugs and boost their profits. The suit also named Evernorth Health and Express Scripts, along with the companies’ subsidiaries.

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Mississippi

Two more Mississippi State players announce decision to enter portal

Published

10 hours ago

January 4, 2026

Press Room

Two more Mississippi State players announce decision to enter portal

The exodus of Mississippi State players continued Sunday afternoon with two more players announcing decisions to enter the transfer portal.

Running back Seth Davis and offensive lineman Luke Work have decided to enter the transfer portal. Both made their announcements in social media posts.

“I’m beyond thankful for my time at Mississippi State. These past two years gave me memories, friendships and lessons that I’ll carry with me for the rest of my life,” Work stated. “God gets all the glory. None of this would be possible without Him guiding my path. Thank you to every coach, teammate, staff member and all the amazing people I’ve met along the way. This place truly became family to me. No matter where the road takes me next, I’ll always be proud to say I wore maroon and white.”

Thank you, Mississippi State pic.twitter.com/u55t9dHTYR
— Luke Work (@LukeWork1) January 4, 2026

Work played in 23 games in his two seasons in Starkville. He was thrust into the starting lineup last season as a true freshman, starting seven games including five at left tackle. This past season Work worked mostly at tackle and guard and played in every game except the first against Southern Miss because of an injury.

Davis began his collegiate career with a solid 2023 season, playing in all 12 games and running 59 times for 356 yards and one touchdown. However, his career was put on hold in that season’s Egg Bowl when he suffered a knee injury that forced him to miss all of the 2024 season.

The Katy, Texas native was able to return to action this season and played in two games. Against Alcorn State, Davis had five carries for 47 yards and one touchdown. He enters the portal with three years of eligibility remaining.

I have decided to enter the transfer portal with 3 years of eligibility.#Godsplan🙏🏾
Thank you Mississippi State❤️ pic.twitter.com/zr7Wuzkyxm
— Seth Davis (@_SethDavis21) January 4, 2026

Mississippi State Transfer Portal

Incoming Bulldogs

Official Visits Scheduled

CB Tyran Chappell (Houston Christian)
OL DJ Chester (LSU)
DL Jayson Jenkins (Florida State)
EDGE Tunmise Adeleye ( UNLV)
DL Tarvorise Brown (Florida)
OT Veguer Jean Jumeau (Tennessee State)
DT Ahmad Breaux (LSU)
DL Khalil Poteat (Temple)
S Justin Denson Jr. (Michigan State)
CB Quentin Taylor (Iowa State)
WR Marquis Johnson (Missouri)
OL Mario Nash (Florida State)
OL Lucas Simmons (Florida State)
QB AJ Swann (Appalachian State)
WR Earnest Campbell (Sacramento State)
TE Jeff Carpenter (Nevada)
OL Grant Seagren (Oklahoma State)
CB Daniel Harris (Georgia)
OT Anwar O’Neal (Delaware)
DL Brandon Davis-Swain (Colorado)
EDGE Jalen Thompson (Michigan State)
OL Miles McVay (North Carolina)

Outgoing Bulldogs

WR Jordan Mosley
S Stonka Burnside
WR Cam Thompson (Northern Illinois)
WR Anson Lewis
DL Terrance Hibbler
OL Jaekwon Bouldin
WR Jaron Glover
DL Corey Clark
OL Alex Lopez
K Marlon Hauck
OL Brennan Smith
S Tony Mitchell
WR Markus Allen
DE Joseph Head
TE Max Reese
OL Jimothy Lewis Jr.
WR Ferzell Shepard
TE Emeka Iloh
S Lo’Kavion Jackson
TE Cam Ball
QB Luke Kromenhoek
RB Johnnie Daniels
S Tyler Woodard
CB Dwight Lewis III
DL Ashun Shepphard
WR Davian Jackson
P Nathan Tiyce
DT Kai McClendon
CB Elijah Cannon
S Cyrus Reyes
OL Luke Work
RB Seth Davis

DAWG FEED:

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Mississippi

Mississippi Lottery Mississippi Match 5, Cash 3 results for Jan. 3, 2026

Published

22 hours ago

January 4, 2026

Press Room

Mississippi Lottery Mississippi Match 5, Cash 3 results for Jan. 3, 2026

The Mississippi Lottery offers several draw games for those aiming to win big. Here’s a look at Jan. 3, 2026, results for each game:

Winning Mississippi Match 5 numbers from Jan. 3 drawing

01-04-07-15-34

Check Mississippi Match 5 payouts and previous drawings here.

Winning Cash 3 numbers from Jan. 3 drawing

Midday: 4-5-3, FB: 6

Evening: 3-9-1, FB: 0

Check Cash 3 payouts and previous drawings here.

Winning Cash 4 numbers from Jan. 3 drawing

Midday: 5-3-4-4, FB: 6

Evening: 9-9-0-0, FB: 0

Check Cash 4 payouts and previous drawings here.

Winning Cash Pop numbers from Jan. 3 drawing

Midday: 12

Evening: 09

Check Cash Pop payouts and previous drawings here.

Feeling lucky? Explore the latest lottery news & results

Story continues below gallery.

Are you a winner? Here’s how to claim your lottery prize

Winnings of $599 or less can be claimed at any authorized Mississippi Lottery retailer.

Prizes between $600 and $99,999, may be claimed at the Mississippi Lottery Headquarters or by mail. Mississippi Lottery Winner Claim form, proper identification (ID) and the original ticket must be provided for all claims of $600 or more. If mailing, send required documentation to:

Mississippi Lottery Corporation

P.O. Box 321462

Flowood, MS

39232

If your prize is $100,000 or more, the claim must be made in person at the Mississippi Lottery headquarters. Please bring identification, such as a government-issued photo ID and a Social Security card to verify your identity. Winners of large prizes may also have the option of setting up electronic funds transfer (EFT) for direct deposits into a bank account.

Mississippi Lottery Headquarters

1080 River Oaks Drive, Bldg. B-100

Flowood, MS

39232

Mississippi Lottery prizes must be claimed within 180 days of the drawing date. For detailed instructions and necessary forms, please visit the Mississippi Lottery claim page.

When are the Mississippi Lottery drawings held?

Cash 3: Daily at 2:30 p.m. (Midday) and 9:30 p.m. (Evening).
Cash 4: Daily at 2:30 p.m. (Midday) and 9:30 p.m. (Evening).
Match 5: Daily at 9:30 p.m. CT.
Cash Pop: Daily at 2:30 p.m. (Midday) and 9:30 p.m. (Evening).

This results page was generated automatically using information from TinBu and a template written and reviewed by a Mississippi editor. You can send feedback using this form.

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Mississippi

How to watch Oklahoma Sooners: Live stream info, TV channel, game time | Dec. 29

Published

7 days ago

December 29, 2025

Press Room

How to watch Oklahoma Sooners: Live stream info, TV channel, game time | Dec. 29

The Mississippi Valley State Delta Devils (1-12) head into a road matchup with Tae Davis and the Oklahoma Sooners (9-3) at Lloyd Noble Center on Monday, beginning at 8 p.m. ET.

We provide more details below, and that includes how to watch this game on SEC Network+.

Here is everything you need to prepare for Monday’s college hoops game.

Oklahoma vs. Mississippi Valley State: How to watch on TV or live stream

Game day: Monday, December 29, 2025
Game time: 8 p.m. ET
Location: Norman, Oklahoma
Arena: Lloyd Noble Center
TV Channel: SEC Network+
Live stream: Fubo – Watch NOW (Regional restrictions may apply)

Check out: USA TODAY Sports Coaches Poll

Watch college basketball on Fubo!

Oklahoma vs. Mississippi Valley State stats and trends

With 86.9 points per game on offense, Oklahoma is 46th in the nation. At the other end, it gives up 72.7 points per contest, which ranks 174th in college basketball.
The Sooners are grabbing 34.8 boards per game (111th-ranked in college basketball) this season, while allowing 30.5 rebounds per contest (156th-ranked).
Oklahoma is averaging 16.7 dimes per game, which ranks them 76th in college basketball in 2025-26.
The Sooners are forcing 11.6 turnovers per game this season (214th-ranked in college basketball), but they’ve averaged just 9.3 turnovers per contest (20th-best).
This season, Oklahoma is making 10.2 three-pointers per game (45th-ranked in college basketball) and is shooting 34.6% (143rd-ranked) from three-point land.
The Sooners are giving up 8.6 treys per game (281st-ranked in college basketball) this season, while allowing a 35.2% three-point percentage (285th-ranked).
Of the shots attempted by Oklahoma in 2025-26, 53.7% of them have been two-pointers (66.6% of the team’s made baskets) and 46.3% have been threes (33.4%).

Oklahoma vs. Mississippi Valley State Odds and Spread

Spread Favorite: Sooners (-44.5)
Total: 152.5 points

NCAA Basketball odds courtesy of BetMGM Sportsbook. Odds updated Monday at 2:47 a.m. ET. For a full list of sports betting odds, access USA TODAY Sports Betting Scores Odds Hub.

Watch college basketball on Fubo!

Follow the latest college sports coverage at College Sports Wire.

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