Margaret Scott

Margaret Scott supports clients with Medicaid drug policy and pricing.

She applies her extensive background in Medicaid drug policy and pharmacy benefits management to guide policy advocacy and market strategy for drug companies, health plans, patient groups, and other stakeholders.

Prior to joining Avalere, Margaret led the pharmacy program for Ohio Medicaid, where she oversaw all aspects of pharmacy policy and operations, including implementing federal and state policy, ensuring Medicaid-contracted managed care organizations were following state and federal policies, supervising drug rebate collections, coordinating the pharmacy and therapeutics committee and drug utilization review board, and directing drug pricing. Margaret also spent time as a clinical adviser at CVS Caremark, where she advised Medicaid managed care organization clients on pharmacy benefits management topics including claims processing, formulary development, utilization management, and compliance with federal and state Medicaid requirements.

Margaret has a BS in pharmacy from Purdue University, an MS in pharmacy administration concentrating in health outcomes research from the Ohio State University, and an MPH in health systems management and policy from the Ohio State University.

Authored Content

View the webinar recording to learn more about the latest policy, pricing, and reimbursement challenges in Medicaid.

The Centers for Medicare & Medicaid Services (CMS) announced the Healthy Adult Opportunity, a new Section 1115 demonstration initiative allowing states to shift toward capped Medicaid financing models with an opportunity for shared savings. If the option is chosen by states, it could be the largest change to Medicaid since the ACA.

CMS’s Healthy Adult Opportunity program, a new Section 1115 demonstration initiative, will allow state Medicaid programs to move toward capped financing models for some non-disabled adult beneficiaries with an opportunity for shared savings and additional flexibilities.