Billing Fraud

The United States’ alleges that CareMed made false statements to insurance companies to secure prior authorization for the coverage of drugs by, among other things, fabricating Medicare beneficiaries’ medical information and posing as representatives of prescribing physicians’ offices when calling insurers.

The Complaint also alleges that CareMed engaged in double-billing by re-stocking unused dosages of Procrit and Rituxan, and then re-selling the drugs and re-billing insurance companies that provide prescription drug coverage to Medicare beneficiaries or Medicaid.

In addition, the Complaint alleges that CareMed submitted false claims for payment for automatic refills of Procrit and Rituxan that were not actually received by patients and their doctors. The lawsuit seeks damages and penalties under the False Claims Act.

Preet Bharara, the United States Attorney filed a civil fraud lawsuit  “CareMed”, a New York-based pharmacy that sells high-cost specialty drugs used to treat conditions that require complex treatment, such as cancer.

the United States has settled the claims against CareMed pursuant to a settlement stipulation approved today by U.S. District Judge Denise L. Cote. In the settlement.

It is time to clean up the fraud. You must read your copy of billing. Just a thought.

Obama's Rebate?

President Obama is making America more energy independent and supporting jobs. Domestic energy-related emissions have fallen to their lowest level in 20 years, and our dependence on foreign oil is at a 20-year low — and declining.

America is producing more oil, gas, and renewable energy, and is becoming more energy efficient overall. These trends are increasing our energy security, cutting our carbon pollution, and enhancing our economic growth.

This Administration has made the largest investment in clean energy in American history.  Increased solar electricity generation by more than ten-fold, and tripled electricity production from wind power.

The Obama administration has taken several actions that advance energy efficiency in our vehicles and homes. Through partnerships with rural electric cooperatives, home efficiency upgrades, and private-sector partnerships. America has been able to cut its carbon emissions.

The prices of oil and Gasoline collapsed 40%. More money in the pocket of house owners, car owners and everybody else.

Obama Care and Obama Rebate are great gifts from this Administration, similar to Clinton's Budget Surplus. There is more to come.

See Obama promoting his Care on Steve Colbert show.

http://thecolbertreport.cc.com/full-episodes/9pryj4/december-8--2014---barack-obama#time=4m21s&index=1

Google and Canada Pills

Google has avoided a criminal prosecution in the US after agreeing to pay $500m to settle a government investigation into its display of advertisements from Canadian pharmacies which illegally sold prescription and non-prescription drugs to American consumers.

The settlement means the company will not face prosecution over accusations that it improperly profited from the ads. The $500m represents the gross revenues Google collected from the Canadian pharmacies plus the earnings generated by the illegal sales of drugs to American consumers, federal investigators said.

The Canadian prescriptions sold to American customers were considered “misbranded” under the statute because they were not approved by the Food and Drug Administration. In some cases, the drugs were obtained from countries other than Canada that lacked adequate regulation of pharmacies. In reality it is the same medication and the same items.

So why wouldn't The United States legalize the importation of medications from Canada and other Nations to overcome the prices that is 100 to 500% more in cost and wipes out seniors' social securities? Why can't we change the law??

Just a thought.

It is the same medicine, should be the same cost. Just a thought.

Avril...






Avril Lavigne

Scheme

A new lawsuit claims CEO of Sanofi and other executives conducted a scheme to funnel tens of millions of dollars in kickbacks and other incentives to get the company's diabetes drugs prescribed and sold.

The whistleblower lawsuit also claims Sanofi CEO Christopher Viehbacher was fired by the company's board "in part, because he was involved in the aforesaid illegal and/or fraudulent activity," which allegedly went on "over the course of many years."

The suit says that Sanofi used contracts that appeared to be for legitimate purposes to direct money to hospitals, doctors and retail pharmacy chains to induce them to purchase and prescribe Sanofi's diabetes medication. It also claims that "approximately $1 billion is missing from Defendant Sanofi which has not been accounted for."

This come two years after the drug company reached an agreement with the Justice Department to settle claims that it engaged in kickbacks by giving doctors free samples of an arthritis drug as a way to encourage them to buy and prescribe that medication.
It impacts federal Medicare and Medicaid insurance programs, the tax payer wallet,
[CNBC-Dan Mangan]

Just a thought.             

Bill Cosby.

The LA Times reported that Hayes is claiming that Cosby groped her breasts in 1973 while they were at a restaurant.

Chelan, said that Cosby drugged and sexually assaulted her at the Las Vegas Hilton in 1986 when she was just 17, the same location where Florida nurse Therese Serignese claims she was raped by Cosby 10 years prior.

According to the LA Times, Chelan [identified by her first name only] told press that Cosby gave her a blue pill to "help with a cold." After she took it, she found that she couldn't move or say anything and that he began sexually assaulting her before she blacked out. She said she awoke hours later to hear Cosby clapping his hands and saying, "Daddy says wake up." He gave her $1,500 to buy something nice for her and her grandmother, she told reporters at the news conference.

Feminist attorney Gloria Allred addressed Bill Cosby,  threw down the gauntlet, asking Cosby to either waive the statute of limitations on allegations that more than 20 women have brought against him, or set up a $100 million account for his accusers and let a panel of retired judges review the claims.

Statute of limitation has expired, accusation were very old, but the Media, all of a sudden, are excited about it. Here is a suggestion of using 100 million of his money to start.... many don't believe the accusation. Just a thought.

Prices of Medication UP 500X

 

The prices for some common generic medicines soared over the past 18 months, state and federal lawmakers are trying to find relief for patients struggling to pay.

 

A Senate panel convened to investigate price increases for generic drugs. Separately, Senators Amy Klobuchar and McCain will revive stalled legislation to allow some prescription imports from Canada. The State of Maine is testing out a hotly contested new law that allows its residents to buy drugs from overseas, flouting United States policy.

 

One half of generic medicines went up in price 10% less than a year; about 10 percent more than doubled in cost in that time, with some common medicines rising by over 500 percent, [Thyroid replacement hormone, the antibiotic doxycycline, the heart pill digoxin and the asthma pill albuterol].

 

The United States does not regulate drug pricing or negotiate prices nationally like other countries, generic medicines have long been a safety valve for American patients, at lower costs. Historically, after the patent expires, generic copies have entered the fray, bringing prices down, often sharply.

 

A 90-day supply of the generic heart medicine digoxin sells for $187 in New York; the branded version, Lanoxin, sells for $24.30 in Canada. A month’s supply of a generic steroid to treat inflammatory bowel disease sells for $1,625 in the United States, while the branded version sells for $155.70 in Canada. It is all in the laws.

 

We are robbing the elderly from their social securities to pay the exaggerated prices of medications.    It is time to do the right thing. Open Market condition will level the prices out.

See my patent application  #11/081,991.

 

Just a thought.

Ferguson ???

Six Bullets...

Tracey Grissom says that when she shot her ex-husband, Hunter, in Northport, Alabama, she feared for her life, a fear she'd felt many times before.
"He had hurt me. He had done a lot of things to me. I didn't want him to be dead. 

She met Hunter Grissom in 2003. Tracey was just 21, and had a  son going through a divorce. "He absolutely loved my son.  she said of Hunter.

It was love at first sight. "He was sucked in immediately,"
Hunter was two years younger than Tracey. When the couple eloped in 2004.

Eight months later, the marriage was in trouble. After threatening him with divorce, Hunter promised to stop using marijuana and their relationship improved so much that Tracey leveraged everything she owned so they could start a business together, all in Tracey's name.

We had tried to have a child for quite some time. We actually had five miscarriages before we had her," Tracey said. "She was premature. Her heart and lungs were not developed."

Tracey says around 10 p.m., Hunter took her to the bedroom, bound her legs, raped her and then threw her against the bathtub......

Tracey had emptied her entire gun, six shots. Then she called 911. She was convicted.

Watch and learn. Just a thought.

On Edge-Ferguson.

Missouri governor declares state of emergency ahead of ruling by Grand Jury. Security has been beefed up, with National Guard troops and extra FBI agents.

One activist protester tells CNN that there won't be any violence.

Two men suspected of buying explosives they planned to detonate during protests in Ferguson, Mo, were arrested on Friday and charged with federal firearms offenses.

If I can't open my doors every morning, I can't feed my kids in the evening," the mother of two tells CNN. She hopes her store will not become a target during protests, which potentially could become violent.

This is a country that allows everybody to express their views, allows them to peacefully assemble, to protest actions that they think are unjust," Obama told ABC.

"But using any event as an excuse for violence is contrary to rule of law and contrary to who we are."

Note: To disturb people's life for months, use violence against the police, rob stores and destroy it, hinder businesses and commerce, is far criminal than what happened. Destroy livelihood, prevent children from going to school, elderly from buying food, patients to see their doctors , and communities from feeling safe is criminal.

So stop it....... Go back to do some work and let others build their and their children's lives. The Grand jury will make its decision anyway they see fit.

Just a thought.