PHARMACIST STEVE

DOJ sues Cigna for exaggerating patient illnesses https://www.healthcaredive.com/news/doj-sues-cigna-healthcare-fraud-patient-diagnoses/634340/ The Department of Justice is suing Cigna over allegations it defrauded the Medicare program out of tens of millions of dollars by exaggerating patient illnesses to obtain increased monthly payments. The exaggerated diagnoses were based on in-home assessment forms — not the testing or imaging required to […]

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CMS Puts the Kibosh on Misleading Medicare Advantage Sales Pitches https://www.medpagetoday.com/special-reports/exclusives/101348 “Secret shoppers” found that 80% of agent calls with clients were inaccurate or insufficient After reviewing thousands of complaints about “confusing, misleading, and/or inaccurate” Medicare Advantage ads, and using “secret shoppers” to document deceptive telephone sales pitches, the Centers for Medicare & Medicaid Services […]

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5 myths about using Suboxone to treat opiate addiction https://www.health.harvard.edu/blog/5-myths-about-using-suboxone-to-treat-opiate-addiction-2018032014496 What is Suboxone and how does it work? Suboxone, a combination medication containing buprenorphine and naloxone, is one of the main medications used to treat opioid addiction. Using ‘medications for opioid use disorder’ is known as MOUD. Use of MOUD has been shown to lower […]

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Tricare is health insurance for  active/retired members of our armed services and many US government employees.  Tricare changed their PBM’s to Express Scripts and they sent out contracts that provided reimbursements to – at least – independent pharmacies that was BELOW THE COST OF WHAT PHARMACIES HAD TO PAY TO PURCHASE THE MEDICATION FROM THEIR […]

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