Health and Pharmacy Law

/Tag:Health and Pharmacy Law

Client Alert – United Healthcare Named in Whistleblower Suit – Accused of False Reporting to CMS

August 7, 2017 - United Healthcare Services Inc., which operates the country’s largest private Medicare Advantage insurance plan (covering about 3.6 million people), has been accused by some of its own sales agents of concealing hundreds of complaints of enrollment fraud and other misconduct. The company is currently embroiled in an earlier lawsuit, filed in May, [...]

Oregon Adds Teeth to PBM Oversight

Add Oregon to the list of states that have enacted laws during their 2017 legislative sessions that codify further oversight over Pharmacy Benefit Managers (PBMs) and their business practices. Oregon initially passed legislation in 2013 that required PBMs to register with the Oregon Department of Consumer Services (DCBS). The registration requirements and fee were minimal, [...]

Client Alert: Another State Takes Action Against PBMs

July 24, 2017 - State legislatures across the country have begun to tackle the issues created for both consumers and pharmacists alike by Pharmacy Benefit Managers (PBMs) and their business practices. In a previous alert we mentioned Public Act 17-241, a bill recently signed into law in Connecticut that addressed “secret price gouging” by PBMs. [...]

DOJ Announces Nationwide Health Care Fraud “Takedown”

July 14, 2017 - In a statement issued yesterday, Attorney General Jeff Sessions and Department of Health and Human Services (HHS) Secretary Tom Price announced the largest-ever health care fraud enforcement action engaged in by the Medicare Fraud Strike Force.  The scams totaled approximately $1.3 billion. Overall, 412 people, including 115 doctors, nurses, and other [...]

Connecticut Takes Steps to Curb Price Gouging by PBMs

July 14, 2017 - Connecticut Governor Dannel Malloy has just signed into law Public Act 17-241, a bill that forbids certain contract provisions between Pharmacy Benefit Managers (PBMs) and pharmacies that limit price information that can be provided to consumers. The Act is designed to curtail what legislators termed “secret price gouging” by PBMs. PBMs, [...]

Client Alert – Twenty States File Suit against Generic Drug Makers-Companies Accused of Collusion and Price-Fixing

On December 14, 2016, we shared the news that two former Heritage Pharmaceuticals (Heritage) executives had been charged by the U.S. Department of Justice in a generic drug pricing-fixing scheme—noting that the investigation was ongoing at both the state and federal levels and could touch dozens of other companies. That statement appears to be prescient, [...]

Two Former Pharm Executives Charged in Generic Drug Price-Fixing Scheme

December 14, 2016 — Today the U.S. Department of Justice (DOJ) charged two former Heritage Pharmaceuticals (Heritage) executives in a price-fixing scheme that reaches far into the generic drug market – with dozens of other companies currently under investigation. A statement issued by the DOJ’s Antitrust Division notes that “the charges are the result of an [...]

U.S. Settles Two Florida False Claims Act Cases Against Healthcare Providers and Nets Nearly $15 Million

U.S. Settles Two Florida False Claims Act Cases Against  Healthcare Providers and Nets Nearly $15 Million In separate statements issued on December 7, 2016, the U.S. Attorney’s Office for the Middle District of Florida and the U.S. Attorney’s Office for the Southern District of Florida announced the settlement of two separate False Claims Act (FCA) [...]

Katy Wane Joins FisherBroyles’ Health and Pharmacy Law Group

(Cincinnati, Ohio — November 8, 2016)  FisherBroyles, an expanding, full-service law firm with offices in 21 cities nationwide, has announced today that Katy Wane has joined the firm's Cincinnati office as a partner in its Health and Pharmacy Law practice. Ms. Wane comes to FisherBroyles from Catholic Health Initiatives (CHI), where she was Director of Clinical [...]