BCBS Reaches $2.8 Billion Settlement to Resolve Antitrust …
Dec 17, 2024 · Blue Cross Blue Shield (BCBS) – with 33 of its member companies – recently reached a proposed settlement, agreeing to pay $2.8 billion to settle allegations that BCBS plans violated antitrust laws by suppressing competition and underpaying providers for reimbursements from July 2008 to October 2024.This class action proposed settlement represents the largest antitrust payout to be awarded ...
CVS Subsidiary Reaches $60 Million Settlement Over False Claims …
Nov 11, 2024 · Oak Street Health, a wholly-owned subsidiary of CVS Health since 2023, has agreed to pay $60 million to resolve allegations that it violated the False Claims Act (FCA) by paying kickbacks to third party insurance agents in exchange for their recruiting of seniors to Oak Street Health’s primary care clinics.. The United States alleged that prior to CVS’ ownership, in 2020, Oak Street Health ...
DEA and HHS Extend Telehealth Flexibilities for Controlled …
Jan 10, 2024 · The rule’s publication drew significant opposition from the provider stakeholder community, with the DEA receiving more than 38,000 comments in response, most of which scrutinized DEA’s perceived shortsightedness and burdensome requirements for typical prescribing relationships.
December 3, 2024 – Policy & Medicine
Dec 3, 2024 · Legal, Regulatory, and Compliance Issues. Congressman Greg Murphy, MD, recently introduced the Medicare Patient Access and Practice Stabilization Act, which aims to support…
FDA Releases Draft Guidance on Randomized Controlled Drug …
Nov 1, 2024 · Recently, the United States Food and Drug Administration (FDA) issued a draft guidance, Integrating Randomized Controlled Trials for Drug and Biological Products Into Routine Clinical Practice Guidance for Industry.The guidance is intended to support the conduct of randomized controlled drug trials (RCTs) with streamlined protocols and procedures, with an emphasis on essential data collection ...
DaVita Reaches $34 Million False Claims Act Settlement
Sep 12, 2024 · DaVita has agreed to pay more than $34 million to resolve allegations that it violated the False Claims Act by paying kickbacks to induce referrals to DaVita Rx, a former subsidiary that provided pharmacy services for dialysis patients, and by paying kickbacks to nephrologists and vascular access physicians to induce …
November 2024 – Policy & Medicine
Nov 1, 2024 · QOL Medical, LLC, and its CEO Frederick E. Cooper have agreed to a $4.7 million settlement with the Department of Justice (DOJ).…
Biden Administration Rescinds Trump Administration Insulin …
Oct 26, 2021 · One of the final healthcare actions made by the Trump Administration has been rescinded by the Biden Administration. On December 23, 2020, the Trump Administration finalized a rule that directed the Department of Health and Human Services (HHS) to take action to require that federally qualified health centers (FQHCs) make insulin and injectable epinephrine available to certain patients at 340B ...
CMS Proposes Changes to 2025 Physician Fee Schedule
Aug 22, 2024 · On July 10, 2024, CMS issued a proposed rule on a broad array of proposed changes to the Medicare Physician Fee Schedule and Medicare Part B payments for Calendar Year 2025. If finalized, the proposed changes would take effect January 1, 2025. The proposed rule includes many updates affecting a wide range of practitioners and providers.
Third Quarter False Claims Act Roundup – Policy & Medicine
Dec 31, 2024 · Oak Street Health marked another settlement, a $60 million settlement resolving allegations that the CVS subsidiary unlawfully compensated third-party insurance agents for making referrals or recommendations of their clients to Oak Street. The government specifically alleged that Oak Street paid insurance agents to contact seniors who were eligible for Medicare Advantage and market Oak Street ...