CMS Affirms that State Medicaid Programs Must Provide MAT Coverage
On October 1, 2020, the Center for Medicare and Medicaid Services (CMS) reaffirmed that under the SUPPORT Act of 2018, state…
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October 2020
HHS OIG Report Shows Concerns with Medicare Advantage Plans
Earlier this month, the U.S. Department of Health and Human Services (HHS) Office of the Inspector General (OIG) released a report…
New Brief Shows Mandated Drug Rebates Benefit Patients
A new brief released in September by the Center for Medical Economics and Innovation at the Pacific Research Institute found that…
Wisconsin Pain Management Company Settles False Claims Act Allegations
On October 1, 2020, the United States Department of Justice (DOJ) announced a settlement with Advanced Pain Management Holdings,…
Phamatech Agrees to Pay $3 Million Over Fraudulent Medicare Billing
Recently, San Diego-based Phamatech, Inc., and its CEO-Founder, Tuan Pham, reached a $3 million settlement to resolve allegations…
DOJ Announces Global Settlement with Purdue Pharma, Including Largest…
On Wednesday, October 21, 2020, the United States Department of Justice (DOJ) announced a global resolution of both civil and…
Court of Appeals Overturns $448 Million Disgorgement Against AbbVie,…
On September 30, 2020, the United States Court of Appeals for the Third Circuit voided a $448 million award by the United States…
Hoffman-La Roche Must Respond to Whistleblower Charges
At the end of September, United States District Judge George L. Russell III ruled that Hoffman-La Roche must answer to…
Largest Health Care Fraud and Opioid Takedown Announced by Department of…
On September 30, 2020, a multi-departmental announcement was made of the largest health care fraud and opioid takedown in the…
CMS Proposed 2021 Medicare Physician Fee Schedule: Physician Groups Call…
In September we wrote about the Centers for Medicare & Medicaid Services (CMS) releasing its proposed 2021 Medicare Physician…