A newly unsealed whistleblower lawsuit claims that CVS Health subsidiaries coordinated to prevent members from accessing generic drugs to boost profits.
Alexandra Miller, who worked for CVS for several decades said the company calculated that the benefits of the alleged scheme outweighed the likelihood of getting caught. She claims that CVS' SilverScripts Part D subsidiary as well as its Caremark pharmacy benefit manager and retail pharmacies worked together to prevent access to generics, ...
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Health Care Whistleblowers
$160M Whistleblower Settlement with Mail-order Diabetic Testing Company
"Free" glucometers, waived co-pays and claims made for dead patients. An Antioch call center whistleblower alerted the U.S. government to a bundle of Medicare false claim schemes in a suit that led this week to the largest settlement in Middle Tennessee history.
It did not feel right. It was too hard of a sell, too much beat into our heads about the limited things we could or couldn't do. It just didn't feel right. So I did a little bit of reading.
Greg Goodman, 59, knew something was off wh...
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Health Management Whistleblower Wins Nearly $1 Million in Fees
False Claims Act whistleblower Bradley Nurkin is entitled to $959,713 in attorneys’ fees and expenses for his role in bringing about a $260 million settlement with Health Management Associates LLC for federal healthcare fraud in September 2018, a Florida federal court said.
Nurkin received $15 million under the settlement involving allegations that Health Management paid kickbacks for doctor referrals and billed healthcare programs for inpatient services that should have been billed as o...
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