Allergan Inc. will pay $3.5 million to resolve allegations brought against it under the False Claims Act. The allegations surround Allergan’s LAP-BAND device, which is used by physicians to assist obese patients with weight reduction.
In March, the Centers for Medicare and Medicaid Services (CMS) announced a new initiative called “MyHealthEData,” designed to allow patients to control their own health data and make it portable from provider to provider. In late April, CMS announced a “Data Driven Patient Care Strategy” to advance that initiative.
The medical device company Alere Inc. will pay the United States $33.2 million to resolve allegations brought against it under the federal False Claims Act. The complaint alleged that Alere knowingly submitted false claims to federal and state healthcare programs for unreliable point-of-care diagnostic testing devices, according to a U.S. Justice Department press release.
The Centers for Medicare and Medicaid Services (CMS) has issued the Health and Human Services Notice of Benefits and Payment Parameters for 2019. “The final rule will mitigate the harmful impacts of Obamacare and empower states to regulate their insurance market,” CMS said in a statement.
McKesson Corp., one of the nation’s largest pharmaceutical companies, and two of its subsidiaries have had federal and state False Claims Act allegations filed against them on behalf of the federal government, 30 state governments, and the city governments of Chicago, New York City, and the District of Columbia.
The U.S. District Court for the District of Columbia recently vacated a Centers for Medicare and Medicaid Services (CMS) final rule. That rule would have limited hospitals’ Medicaid disproportionate share hospital payments based on Medicare or private insurer payments they received. This decision follows a Missouri court that likewise found CMS exceeded its Medicaid Act authority.
Hamot Hospital, a University of Pittsburgh Medical Center affiliate, and Medicor Associates Inc., a regional physician cardiology group practice, will pay the U.S. government $20.75 million to settle claims that they violated the Stark Law on physician self-referrals and the Anti-Kickback Statute.