Compliance & Legal
The charges are unlawful distribution of about 70 million opioid pills and 30 million doses of other prescription drugs.
Insurer is seeking an injunction, claiming the downgrade was based on an "arbitrary and capricious" assessment.
The drugmaker says it believes the rebate model is legally permissible and needed to improve the integrity of the 340B program.
The HELP Committee wanted to punish de la Torre for invoking his Fifth Amendment right, the lawsuit says.
An audit finds $7.8M in federal funds were claimed for enrollees who were incorrectly assigned to eligibility groups.
OIG identified systemic issues that impair Medicaid's ability to root out fraudulent activities and offered several recommendations.
Medicare claims for catheters have increased, and CMS found a rise in billings by a small group of durable medical equipment supply companies.
Particle Health claims Epic is intentionally stifling its ability to send and receive health information.
Caremark, Express Scripts, Optum and their GPOs created a rebate system that boosted PBM profits, FTC alleges.
Payments to insurance agents incentivize them to base referrals on financial considerations, DOJ says.