An insurer cannot ignore a $4,869.99 bill for a tube of compounded pain cream on the grounds that the medication is unnecessary without first filing a utilization review petition, a Pennsylvania appellate court ruled. The decision Thursday by the Commonwealth …
Drugmaker Insys Therapeutics Inc filed for bankruptcy protection on Monday amid mounting expenses driven by a U.S. Justice Department probe into claims it paid doctors bribes to prescribe a powerful opioid medication. The Chapter 11 bankruptcy filing marked a first …
The Los Angeles County District Attorney’s Office has filed charges against 15 chiropractors in a $6 million insurance fraud and illegal kickback scheme involving automobile collision medical claims. The felony complaint in case BA477147 lists a total of 18 felony …
Several states are probing pharmacy-benefit managers’ business practices in government-sponsored health programs, adding to the scrutiny the middlemen face in Washington for their role in the cost of drugs. At least three state attorneys general are investigating PBMs, in addition …
NEW YORK — Novartis AG must face a U.S. government lawsuit accusing it of paying millions of dollars in kickbacks to doctors so they would prescribe its drugs, after a federal judge ruled in a decision released on Monday that …
Evidence clearly shows that a lawyer inside a court-supervised facility that handles damage claims over the 2010 Gulf of Mexico oil spill and two outside attorneys lied about a system of payments set up to help speed claims through the …
Federal prosecutors said Friday that they have charged 32 South Texas residents with bilking insurer Aflac out of $3 million over a decade by faking a variety of minor injuries – including burning an arm while making tortillas and injuring …