The Daily Scan

May 25, 2018

Last Updated: 10:30AM EST

Litigation

  • Pharmaceutical company Pfizer, Inc. has agreed to pay $23.85 million to resolve claims that it used a foundation as a conduit to pay the co-pays of Medicare patients taking three Pfizer drugs, in violation of the False Claims Act. Both Pfizer and the DOJ announced the agreement yesterday. (Justice.gov, Pfizer.com)

 

Legislation

  • Congressmen Vicente Gonzalez (TX-15) and Doug Collins (R-GA-09) introduced H.R. 5958, the Phair Pricing Act of 2018, to lower the cost of prescription medications for patients in the Medicare Part D program. The Phair Pricing Act would direct all price concessions, incentive payments and price adjustments between a pharmacy and a PDP sponsor or PBM to be included at the point of sale. (Gonzalez.House.gov)

Regulation

  • According to a new audit from the Department of Health and Human Services Office of Inspector General, The Centers for Medicare & Medicaid Services did not always provide accurate Medicaid unit rebate offset amounts (UROAs) to State Medicaid agencies during the period January 1, 2010, through December 31, 2014, in accordance with Federal guidance. (OIG.HHS.gov)

 

  • Yesterday, the U.S. Food and Drug Administration permitted marketing of Imagen OsteoDetect, a type of computer-aided detection and diagnosis software designed to detect wrist fractures in adult patients. The OsteoDetect software is a computer-aided detection and diagnostic software that uses an artificial intelligence algorithm to analyze two-dimensional X-ray images for signs of distal radius fracture, a common type of wrist fracture. (FDA.gov)

Medicaid

  • Maine Superior Court Justice Michaela Murphy said Thursday that she will issue a ruling as soon as possible in a lawsuit against the state filed by low-income advocacy group Maine Equal Justice Partners over implementation of Medicaid expansion, which voters approved last year. The lawsuit seeks to compel the DHHS to amend its program with the federal government and begin creating rules before a July 2 deadline. The state says it cannot because no money has been specifically appropriated. (PressHerald.com)

Private Sector

  • UnitedHealthcare and Quest Diagnostics announced yesterday that they have established a long-term strategic partnership as the two organizations focus on ways to create more personalized care recommendations and a simpler consumer experience for the more than 48 million people enrolled in UnitedHealthcare plans. Quest will be in network for all UnitedHealthcare plan participants beginning January 1, 2019. Also announced yesterday was UnitedHealthcare's continued partnership with LabCorp. LabCorp will continue to serve as the plan's exclusive national laboratory provider until January 1, 2019. (UnitedHealthGroup.com, UnitedHealthGroup.com)

 

 

 

 

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