Walgreens to pay $106M to settle claims of double-billing Medicare, Medicaid


Summary

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Full story

Walgreens agreed to pay $106 million to settle lawsuits accusing the pharmacy chain of fraudulently billing government health programs for prescriptions that were never dispensed. Three former Walgreens employees filed the lawsuits in New Mexico, Texas and Florida under the False Claims Act. This act allows individuals to sue on behalf of the U.S. government and share in the recovery of money.

The whistleblowers alleged that from 2009 to 2020, Walgreens billed Medicare, Medicaid and other federal health programs for prescriptions that pharmacists processed but patients never picked up. Instead of canceling the claims for uncollected medications, Walgreens allegedly restocked and resold the drugs, effectively receiving payment twice.

“Due to a software error, we inadvertently billed some government health care programs for a relatively small number of prescriptions our patients submitted but never picked up,” a Walgreens spokesperson said in a statement to Fox Business. “We corrected the error, reported the issue to the government, and voluntarily refunded all overpayments. We appreciate that the government acknowledged our compliance efforts as part of resolving this matter.”

Settlement documents indicate that Walgreens cooperated with the investigation and has since improved its electronic management system to prevent such issues in the future.

“This settlement marks another major achievement in our ongoing commitment to combat health care fraud,” U.S. Attorney Roger Handberg told Fox Business. “It is essential to hold pharmacies accountable when they knowingly fail to abide by the rules and requirements of our national health care programs.”

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Key points from the Center

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Timeline

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Summary

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Full story

Walgreens agreed to pay $106 million to settle lawsuits accusing the pharmacy chain of fraudulently billing government health programs for prescriptions that were never dispensed. Three former Walgreens employees filed the lawsuits in New Mexico, Texas and Florida under the False Claims Act. This act allows individuals to sue on behalf of the U.S. government and share in the recovery of money.

The whistleblowers alleged that from 2009 to 2020, Walgreens billed Medicare, Medicaid and other federal health programs for prescriptions that pharmacists processed but patients never picked up. Instead of canceling the claims for uncollected medications, Walgreens allegedly restocked and resold the drugs, effectively receiving payment twice.

“Due to a software error, we inadvertently billed some government health care programs for a relatively small number of prescriptions our patients submitted but never picked up,” a Walgreens spokesperson said in a statement to Fox Business. “We corrected the error, reported the issue to the government, and voluntarily refunded all overpayments. We appreciate that the government acknowledged our compliance efforts as part of resolving this matter.”

Settlement documents indicate that Walgreens cooperated with the investigation and has since improved its electronic management system to prevent such issues in the future.

“This settlement marks another major achievement in our ongoing commitment to combat health care fraud,” U.S. Attorney Roger Handberg told Fox Business. “It is essential to hold pharmacies accountable when they knowingly fail to abide by the rules and requirements of our national health care programs.”

Tags: , , ,

Why this story matters

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Get the big picture

Synthesized coverage insights across 69 media outlets

Policy impact

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Bias comparison

  • The Left vehicula mollis ipsum dignissim sodales scelerisque magnis quam volutpat nascetur habitasse luctus tellus himenaeos facilisis mattis netus, arcu sollicitudin justo inceptos nunc aliquam phasellus porttitor adipiscing neque aptent nullam elit leo.
  • The Center ipsum mauris neque erat curabitur sagittis inceptos quisque non placerat suscipit, ut curae sodales magnis facilisis pharetra molestie urna taciti gravida natoque, faucibus dolor luctus ex laoreet class penatibus ultricies convallis.
  • The Right a leo congue euismod fringilla commodo aptent mauris suspendisse convallis sem finibus diam nam class sollicitudin tristique ornare at vestibulum habitant ad, molestie ante auctor condimentum bibendum sagittis arcu libero habitasse vulputate lorem pellentesque egestas hendrerit dictum massa phasellus nostra rutrum.

Media landscape

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113 total sources

Key points from the Left

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Key points from the Center

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  • Consequat parturient hac non dictum vehicula nisl nullam netus himenaeos sed, scelerisque nisi odio pulvinar finibus nulla porttitor pretium conubia.
  • Praesent aptent amet blandit convallis lacus ipsum augue congue purus nascetur vel eget odio euismod, iaculis consequat dapibus nostra montes potenti volutpat commodo imperdiet viverra ullamcorper et.

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Timeline

  • Bob Dylan auction items, including draft lyrics to “Mr. Tambourine Man,” which sold for $508k, generated $1.5 million in sales at Julien’s.
    Lifestyle
    Jan 20

    Bob Dylan’s ‘Mr. Tambourine Man’ draft lyrics auctioned for $508,000

    Bob Dylan’s words remain as valuable as ever. Draft lyrics to his iconic song “Mr. Tambourine Man” recently sold for $508,000 at auction. Sixty of Dylan’s personal items were sold on Saturday, Jan. 18, through Julien’s Auctions. These included handwritten postcards, a property transfer tax return, clothing, photos, drawings and music sheets. Altogether, the auction […]

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  • Trump pardoned roughly 1,500 individuals who were charged, arrested and jailed for crimes related to the Capitol riot on Jan. 6, 2021.
    Politics
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