Tag: Diabetes Testing Supplies

SALT LAKE CITY and DALLAS – Diathrive Health, a diabetes and chronic disease management solution, and Mark Cuban Cost Plus Drug Company have announced a new collaboration that they say will give consumers lower cost medications and diabetes testing supplies and more personalized, higher quality care so that they can achieve better health outcomes. “As a practicing physician I saw first-hand the danger of patients not being able to afford medications and supplies," said Alex Oshmyansky,...

NEWARK, N.J. - A judge for the U.S. District Court of New Jersey has ruled that Roche Diagnostics Corp. and LifeScan can move forward with lawsuits against Alliance Medical Holdings and its network of retail pharmacies.  Roche, which is represented by Patterson Belknap Webb & Tyler LLP, and LifeScan allege in their lawsuit that Alliance defrauded them by purchasing wholesale test strips on the secondary market and then marketing and selling them as higher-priced retail test strips.  They...

NASHVILLE, Tenn. – Arriva Medical and its parent company, Alere, have agreed to pay $160 million to settle allegations they violated the False Claims Act. The federal government alleged that, from April 2010 until the end of 2016, Arriva, with Alere’s approval, paid kickbacks to Medicare beneficiaries by providing them free or no-cost glucometers and by routinely waiving, or not collecting, co-payments for meters and diabetes testing supplies. Specifically, it alleged that Arriva...

CARLSBAD, Calif. – Advanced Diabetes Supply has acquired US Medical Supply (US MED), a portfolio company of H.I.G. Capital that provides continuous glucose monitors and medical supplies.  Founded in 1996, the Doral, Fla.-based US MED contracts with more than 500 insurance plans covering nearly 200 million lives. It was acquired by H.I.G in 2015.  “H.I.G. served as a value-added partner to our leadership team and supported the transformation of the business,” said...

INDIANAPOLIS - Priority Healthcare Corp. has agreed to pay $43 million to Roche Diagnostics to settle allegations that it filed fraudulent claims for diabetes testing supplies.  In a lawsuit filed in September 2018, Roche, a manufacturer of diabetes testing supplies, says it paid $37.5 million in “unwarranted” rebates to insurance companies and their pharmacy benefit managers for claims submitted by PHC, a network of pharmacies in Mississippi, Alabama and Arkansas,...

NEW YORK – One Drop, a provider of digital solutions for people living with diabetes and other chronic conditions, named Luc Gregoire as chief financial officer. Effective immediately, he will assume responsibility for One Drop's accounting and financial operations, and serve as a strategic business adviser to CEO and founder Jeff Dachis. Gregoire has more than 30 years of financial, strategic and operational experience in public and...

INDIANAPOLIS - Roche Diagnostics and Humana have agreed to settle a whistleblower lawsuit for $12.5 million, after the government declined to intervene in the case.  Roche was charged with violating the Anti-Kickback Statute and False Claims Act, causing false claims to be submitted to the Medicare Advantage program and defrauding taxpayers, in a lawsuit filed in 2014 in the U.S. District Court for the Northern District of Illinois by a former employee of the company.  Humana...

WASHINGTON - Medicare spending for diabetes testing supplies decreased by 88% between 2010-2017, according to a new report from the Medicare Payment Advisory Commission, but health outcomes have remained stable.Since the national mail-order program was implemented in 2013, the use of diabetes testing supplies is down overall, but retail sales of supplies is up, says the report, “Examining Impacts of the National Mail-Order Program on Medicare Service Utilization and Beneficiary Health Outcomes.”MedPAC...

WASHINGTON - Non-mail order claims for diabetes testing supplies made up 85% of the total Medicare market between April 1, 2019, and June 30, 2019, according to a new report from the Office of Inspector General. Suppliers provided 25 brands of testing supplies to Medicare beneficiaries via non-mail order and 21 brands via mail order. The OIG sent documentation requests to 594 non-mail order suppliers and 18 mail-order suppliers to conduct its study. A rule outlined in the Medicare Improvements for...

WASHINGTON - Performant, the national RAC for DME, received approval from CMS on June 14 to audit blood glucose test strips (A4253) nationwide. “The quantity of glucose test strips that are covered depends upon the usual medical needs of the diabetic patient,” reads an announcement on the RAC's website. “Documentation will be reviewed to determine if the utilization guidelines for glucose test strips were met.” The RAC will be reviewing claims that have a “claim...