Archive for August 2021
UnitedHealthcare Loses MA Overpayment Case
A federal appeals court recently ruled against UnitedHealthcare, reversing a 2018 decision involving Medicare Advantage overpayments and sending the case back to the lower court with instructions to rule in favor of the Centers for Medicare & Medicaid Services (CMS). The lower court’s ruling in UnitedHealthcare Insurance Co. v. Azar, No. 16-157 (D.D.C.), vacated Medicare’s…
Read MorePhRMA Updates Code on Interactions with Healthcare Professionals
Earlier this month, the Pharmaceutical Research and Manufacturers of America (PhRMA), announced it had made changes to its Code on Interactions with Healthcare Professionals. The “PhRMA Code†updates principles applicable to company-sponsored speaker programs. Although voluntary, the standards outlined are considered best practices and generally are followed by drug and medical device companies. In fact,…
Read MoreAbbott Laboratories’ Alere to Pay $160M to Settle FCA Claims
What once was one of the country’s largest Medicare mail-order diabetic testing suppliers and its parent company have agreed to pay $160 million to resolve allegations they violated the False Claims Act. The case was brought under the qui tam, or whistleblower provisions of the False Claims Act by Gregory Goodman against Arriva Medical LLC,…
Read MoreFacebook to Crackdown on Prescription Drug Advertisement
You’re scrolling through Facebook and up pop ads for medications used to treat everything from ADHD to HIV. You may wonder, why am I seeing these ads? It could be because of your age, or that you live in a certain zip code, or you may have visited a site for a similar drug or…
Read MoreFeds Recover $3.1B in FY 2020 Resulting From Healthcare Fraud Investigations
The federal government recouped nearly $3.1 billion last year following investigations into healthcare fraud, according to a new report released by the U.S. Department of Health and Human Services and the Department of Justice. The annual report noted that DOJ opened 1,148 new criminal healthcare fraud investigations in 2020, filing criminal charges in 412 cases…
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