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Tag: Lawsuit

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NCPA backs new PBM lawsuit 

December 19, 2023HME News Staff

ALEXANDRIA, Va. – The National Community Pharmacists Association is throwing its support behind another class action lawsuit filed against UnitedHealth Group and its pharmacy benefit manager, OptumRx. The lawsuit, announced by the law firms Berger Montague PC and Cohen & Gresser LLP, claims that UnitedHealth Group and OptumRx have been assessing pharmacy DIR fees in violation of federal antitrust laws and state laws governing contracts. “After years of abuse at the hands of big insurance...

Lawsuit, National Community Pharmacists Association (NCPA), OptumRx, Pharmacy Benefit Managers (PBMs), UnitedHealth

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Claims period opens for Philips recall 

December 12, 2023HME News Staff

AMSTERDAM – Counsel for the lead plaintiffs in the Philips recall lawsuit have announced that the claims filing period has opened for the previously announced settlement fully resolving economic loss claims. Patients and medical providers who purchased, rented or leased recalled devices, as well as payers who provided reimbursements for those payments, are eligible to participate in the settlement from Dec. 11, 2023, through Aug. 9, 2024. Under the terms of the settlement, users are eligible...

Lawsuit, Philips Recall

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Class action filed against AdaptHealth

November 2, 2023HME News Staff

PLYMOUTH MEETING, Pa. – A class action lawsuit has been filed against AdaptHealth alleging the company misrepresented the strength of its diabetes business, causing investors to pay inflated prices for shares in the company.  The lawsuit, filed Oct. 24 in the United States District Court for the Eastern District of Pennsylvania by the Allegheny County Employees Retirement System, alleges that between Aug. 4, 2020, and Feb. 27, 2023, AdaptHealth and certain senior executives overcharged...

AdaptHealth, Diabetes, Lawsuit

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In brief: Philips refutes claims, MA premiums remain stable, NCPA supports CVS lawsuit 

September 29, 2023HME News Staff

AMSTERDAM – Philips disagrees with “characterizations” in recent articles that the company knew for several years about problems with certain ventilators and sleep apnea devices.  ProPublica and the Pittsburgh Post-Gazette on Sept. 27 published an article saying that Philips knew about a dangerous breakdown inside its widely used ventilators and sleep apnea machines but waited years before recalling the devices in 2021.  In a statement, Philips said it had previously...

CPAP Recall, Lawsuit, Medicare Advantage, National Community Pharmacists Association (NCPA), Philips

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SoClean amends complaint

December 6, 2021HME News Staff

PETERBOROUGH, N.H. – SoClean has filed an amended complaint in its lawsuit against Philips that takes into account a new inspection report from the U.S. Food and Drug Administration.  The company highlighted the following points in the amended complaint:  “Philips has known for years that the company’s products created a serious risk of harm to consumers.”  “The FDA report also confirmed that Philips had been receiving customer complaints...

Lawsuit, Ozone, Philips Recall, SoClean

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Pharmacy associations go back to court

July 6, 2021HME News Staff

ALEXANDRIA, Va. – A group of nine pharmacy associations, including the National Community Pharmacists Association, has filed a friend of the court brief in the Eighth Circuit of the U.S. Court of Appeals defending North Dakota’s right to regulate pharmacy benefit managers. The case, Pharmaceutical Care Management Association (PCMA) v. Wehbi, is the first to consider at the federal appellate level the scope of the U.S. Supreme Court’s unanimous decision last year upholding an Arkansas...

Lawsuit, National Community Pharmacists Association (NCPA), Pharmacy Benefit Managers (PBMs)

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In brief: Audits pile up, M&A heats up, Masimo sues Apple

September 18, 2020HME News Staff

WASHINGTON - CGS, the DME MAC for jurisdictions B and C, will be conducting complex post-pay reviews for surgical dressings and knee orthoses, according to AAHomecare. CGS will be reviewing A6196 and A6212, and L1833 and L1851. The DME MAC is conducting the reviews due to data analysis that showed “significantly above expected amounts.” Surgical dressings and knee orthoses also ranked No. 5 and No. 9, respectively, in total CERT improper payment rates. The reviews will...

Audit, Lawsuit, Mergers & Acquisitions (M&A)

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Specialty Providers

Judge freezes assets in test strip rebate case

November 19, 2019HME News Staff

INDIANAPOLIS - A judge has granted a motion to freeze certain assets of Priority Healthcare Corp., the latest development in a lawsuit over “unwarranted rebates.”In a lawsuit filed in September 2018, Roche, a manufacturer of diabetes testing supplies, says it paid $37.5 million of “unwarranted” rebates to insurance companies and their pharmacy benefit managers for claims submitted by PHC between Jan. 1, 2013, and the end of the first quarter of 2018.This latest motion, issued...

Lawsuit, Pharmacy, Priority Healthcare, Rebates, Roche

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Apria sues former office admin

July 26, 2019HME News Staff

HOUSTON - Apria Healthcare is suing a former office administrator at its office here for allegedly taking and reselling CPAP devices since 2014, according to the Southeast Texas Record. Apria filed a complaint on July 9 in Harris County District Court against Rebecca Bowman, alleging breach of fiduciary duty, conversion, exemplary damages, breach of contract and violation of the Texas Theft Liability Act. Apria hired Bowman as office administrator for the Houston office in 1997, but the company says...


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Howard's Medical settles with ATP, NSM

July 1, 2019Liz Beaulieu, Editor

YAKIMA, Wash. - Howard's Medical has settled its lawsuit against Daryl Bullard, a former employee, and National Seating & Mobility, his new employer, out of court for more than $40,000, says CEO Erik Mickelson. The lawsuit alleged that Bullard violated a non-compete agreement and transferred confidential company information, and that NSM took no action to stop him. “We have now defended two non-competes in the last seven years,” Mickelson said. “I am a strong proponent...

Howard's Medical, Lawsuit, National Seating & Mobility (NSM)

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