generic drugs |
Generic Drug Pricing Transparency: Kentucky, North Dakota and Arkansas Fight the Good Fight. At the heart of the health care crisis in this country are rising drug costs. How do we control drug costs, particularly generic drugs that account for 80 percent of prescriptions? This year Kentucky became the first state in the nation to enact a generic drug pricing transparency bill that provides the state's 500+ independent community pharmacies information on how large corporate health plans or their agents--i.e., pharmacy benefit managers (PBMs)--calculate generic drug reimbursement payment levels (aka "maximum allowable costs" (MACs)) to retail pharmacies as well as timely updates to those payment levels to reflect market prices. The bill also establishes an appeals process when disputes occur over the payment levels. Read more.
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larson's on fraud |

Disabled Officer Failed to Disclose Status as Horse Trainer, by Thomas A. Robinson, JD. A New York appellate court has affirmed a decision by the state's Workers' Compensation Board that found a claimant had knowingly committed fraud by claiming that his activities as a horse trainer were no more than a therapeutic hobby and, pursuant to Workers' Compensation Law § 114-a (1), permanently disqualified the claimant from receiving wage replacement benefits after April 2009. Read more about this case and other cases on attorney's fees, retaliatory discharge, and going and coming. |