February 7, 2018 Business Law
Fighting Onerous PBM Audits
Jay Adzema runs Adzema Pharmacy in McCandless, Arizona. It is a one-store pharmacy that processed 20,000 prescriptions over the past two years. 90% of those scripts cost less than $50 a piece. Recently, Express Scripts, a leading Pharmacy Benefits Manager (PBM) audited Adzema Pharmacy. The PBM was only interested in 19 of the 20,000 prescriptions. These 19 prescriptions cost between...Read MoreMay 16, 2017 Business Law, Family Law
Whistle-Blower Describes How UnitedHealth Group Gamed the System
Benjamin Poehling, a former UnitedHealth Group employee, recently gave his first interview since having been publicly named as a whistle-blower. Poehling describes how UnitedHealth allegedly gamed the system to bilk the Medicare-Advantage program. To read the full article go to A Whistle-Blower Tells of Health Insurers Bilking Medicare Read MoreApril 4, 2017 Bank & Financial, Business Law, Civil Litigation