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Supreme Court Rules Against Pharmacy Benefit Managers, Scoring a Win for Independent Pharmacies

The U.S. Supreme Court recently ruled against Pharmacy Benefit Managers (PBMs), scoring a win for smaller, independent pharmacies. The opinion ...
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Pharma Giant Pays $22M to Settle Alleged Kickback Scheme Involving Charitable Foundations

Pharma giant Biogen Inc. has become the most recent company to resolve allegations that it violated the False Claims Act ...
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HHS Proposes Revisions to HIPAA Privacy Rule

The U.S. Department of Health and Human Services Office for Civil Rights (OCR) is seeking to revise the HIPAA Privacy ...
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OIG to Recover $4B in 2020 Resulting From Investigative Efforts

The U.S. Department of Health and Human Services Office of Inspector General recently reported that it expects to recover more ...
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A doctor is handing money to another person.

HHS, CMS Announce Changes to Stark Law and Anti-Kickback Statute

The U.S. Department of Health and Human Services Office of Inspector General and Centers for Medicare & Medicaid Services recently ...
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Medical Device Maker, Investment Firm Settle Whistleblower Lawsuit for $11.5M

A whistleblower lawsuit alleging that Therakos Inc. violated the False Claims Act by marketing a cancer treatment for uses not ...
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OIG Issues Fraud Alert Targeting Pharma Speaker Programs

The U.S. Department of Health and Human Services Office of Inspector General (OIG) earlier this month issued a fraud alert ...
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Right of Access Violations Lead to Class Action

In recent weeks, we have been telling you about Office of Civil Rights (OCR) settlements relating to alleged violations of ...
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Failure to Adhere to Incident-to Rules Can be Costly

The U.S. Department of Justice recently announced that two physicians and their family medicine practices located in Tennessee will pay ...
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Medicare Audit Targets HHA Overpayments

Gem City Home Care, LLC became the most recent HHA to be ordered to pay back millions in overpayments following ...
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