What Does Fraud in the Medicare Advantage Space Mean for the Reverse False Claims Provision?
As the percentage of Medicare and Medicaid beneficiaries in managed care increases, there is a risk that fraudsters will misrepresent Medical Loss Ratios to the government.
A Tradition of Fraud Persists in New Types of Medicare Delivery Models
Unscrupulous medical providers, hospitals, and drug manufacturers, can and do defraud Medicare Advantage plans in the same ways they defraud “traditional” Medicare.
How the Inflation Reduction Act’s Medicare Provisions Will Combat Drug Pricing Fraud
If the IRA’s new Medicare provisions had been in place when the case against Eli Lilly was filed in 2014, many more taxpayer funds may have been recovered.
Fraud By The NumbersFalse Claims ActFraud By The NumbersHealthcare
One Year’s Tax Revenue is Another Year’s Purchases of Drugs and Biologics
Nearly 70 percent of U.S. adults aged 40-79 used at least one prescription drug in 2019. In this blog, we explore the prevalence of fraud in the pharmaceutical industry.