SACRAMENTO, Calif. — Prescription drug costs for California’s massive Medicaid program were draining the state budget, so in 2019 Gov. Gavin Newsom asked the private sector for help. The new Medicaid drug program debuted this January, with a private company in charge. But it was woefully unprepared, and thousands of low-income Californians were left without critical medications for weeks, some waiting on hold for hours when they called to get help. What happened in the two years between the contract award and the start of the program is a case study in what can go wrong when government outsources core functions to the private sector. California awarded the Medi-Cal Rx pr
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