Search for: "Pharmacy Management Services Inc."
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30 Apr 2024, 5:42 am
Background According to the complaint, Cerebral offered telehealth services, including mental health treatment and/or medication management services, through websites and mobile apps since October 2019. [read post]
21 Apr 2024, 5:00 pm
According to the complaint, the alleged breaches occurred because the fiduciaries, among other things, (1) failed to act prudently when selecting Express Scripts, Inc. as the pharmacy benefit manager (PBM), (2) agreed to a “spread pricing” formulary for prescription drugs, and (3) failed to adequately monitor the PBM to leverage better pricing on certain categories of prescription drugs. [read post]
25 Mar 2024, 6:38 am
About Solutions Laws Press, Inc. [read post]
17 Mar 2024, 5:42 pm
Among other things: Due to the widespread use of the Change Healthcare tools and systems as a financial clearinghouse for connecting pharmacy benefit managers, health care providers, and other key plays and health plans throughout the health care and health benefits industry, the attack has and continues to disrupt key billing, care-authorization, payment and other transactions between health care payers and pharmacies, physicians and other health care providers… [read post]
4 Mar 2024, 6:51 am
District Judge Dan Polster, who is overseeing the opioid multidistrict litigation in the Northern District of Ohio, raised several questions to Motley Rice’s Linda Singer about her responsibilities as outside counsel in government lawsuits against the same defendants her firm has sued in the opioid cases—specifically, pharmacy benefit manager OptumRx Inc., owned by United HealthCare. [read post]
13 Feb 2024, 6:00 am
The Office of the Medicaid Inspector General (OMIG) contracts with Health Management Systems, Inc. [read post]
13 Feb 2024, 6:00 am
The Office of the Medicaid Inspector General (OMIG) contracts with Health Management Systems, Inc. [read post]
12 Feb 2024, 6:07 am
Just like the cases alleging overpayments to TIAA and Fidelity in the retirement space, this lawsuit is claiming that J&J fiduciaries must pay for alleged excessive overpayments or markups to the pharmacy benefit manager (PBM) for specialty generic drugs. [read post]
8 Jan 2024, 11:59 am
” The DOJ alleged that the PE firm “managed [the pharmacy] on behalf of its investors, allegedly knew of and agreed to the plan to pay outside marketers to generate the prescriptions and financed the kickback payments to the marketers. [read post]
20 Dec 2023, 2:50 pm
Stamer’s work throughout her career has focused heavily on working with health care and managed care, life sciences, health and other employee benefit plan, insurance and financial services and other public and private organizations and their technology, data, and other service providers and advisors domestically and internationally with legal and operational compliance and risk management, performance and workforce management, regulatory and public… [read post]
19 Dec 2023, 4:48 pm
Once established under the NSA, payers are required to pay providers the appropriate payment rate for the covered out-of-network services provided to the member patient and the provider is prohibited from balance billing charges in excess of the appropriate payment rate for those services. [read post]
11 Dec 2023, 6:42 pm
The case is Express Scripts Inc. v. [read post]
8 Dec 2023, 10:02 am
Department of Health and Human Services Breach Portal. [read post]
10 Nov 2023, 1:35 pm
The Internal Revenue Service announced the 2024 HFSA, MSA and other a multitude of other adjustments likely to impact 2024 benefit elections, withholding and other tax planning for workers in Rev. [read post]
9 Nov 2023, 1:48 pm
Solutions Law Press, Inc. invites you receive future updates by registering on our Solutions Law Press, Inc. [read post]
9 Nov 2023, 1:07 pm
The Internal Revenue Service announced the 2024 HFSA, MSA and other a multitude of other adjustments likely to impact 2024 benefit elections, withholding and other tax planning for workers in Rev. [read post]
5 Nov 2023, 3:10 pm
OCR’s investigation determined that, in addition to that impermissible disclosure, DADS violated the HIPAA Security Rule by failing to conduct an enterprise-wide risk analysis and implement access and audit controls on Community Living Assistance and Support Services and Deaf Blind with Multiple Disabilities (“CLASS/DBMD”) program information systems and applications intended to collect and report information about “Utilization Management and Review”… [read post]
2 Oct 2023, 12:19 pm
Solutions Law Press, Inc. provides human resources and employee benefit and other business risk management, legal compliance, management effectiveness and other coaching, tools and other resources, training and education on leadership, governance, human resources, employee benefits, data security and privacy, insurance, health care and other key compliance, risk management, internal controls and operational concerns. [read post]
15 Sep 2023, 2:20 pm
Solutions Law Press, Inc. provides human resources and employee benefit and other business risk management, legal compliance, management effectiveness and other coaching, tools and other resources, training and education on leadership, governance, human resources, employee benefits, data security and privacy, insurance, health care and other key compliance, risk management, internal controls and operational concerns. [read post]
15 Sep 2023, 2:02 pm
Solutions Law Press, Inc. provides human resources and employee benefit and other business risk management, legal compliance, management effectiveness and other coaching, tools and other resources, training and education on leadership, governance, human resources, employee benefits, data security and privacy, insurance, health care and other key compliance, risk management, internal controls and operational concerns. [read post]
