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Drugstore Lobby Looks for 'Free Pass' to Avoid Fraud, Waste, and Abuse Detection
Date:8/3/2011

WASHINGTON, Aug. 3, 2011 /PRNewswire-USNewswire/ -- As payers, unions, and a bipartisan chorus of policymakers look to reduce wasteful spending by demanding more accountability in the health care system, the independent drugstore lobby is moving in the opposite direction, seeking to ban tools that detect pharmacy fraud, waste, and abuse. The Pharmaceutical Care Management Association (PCMA) today launched a campaign opposing the drugstore lobby's attempt to win a "free pass" in the fight against wasteful health care spending.

"The drugstore lobby wants to undermine employers' ability to root out wasteful spending on prescription drugs. That would make it harder for businesses to reduce health care costs and protect the benefits of their employees," said PCMA President and CEO Mark Merritt.

Health care fraud, waste, and abuse costs Americans up to $234 billion a year, according to the National Health Care Anti-Fraud Association (NHCAA). PCMA's campaign opposing H.R. 1971/S. 1058 includes a new report that provides an update on the fight against pharmacy fraud and the countervailing effort by the drugstore lobby to drive legislation that would undermine that fight.

Recent headlines across the country have exposed pharmacy fraud running the gamut from false claims to double billing. Yesterday, the owner and controller of 26 pharmacies in Michigan was indicted in a U.S. District Court, alleged to have been the center of a health care scam "going back to 2006, during which he distributed painkillers valued at more than $57 million and fraudulently billed Medicare, Medicaid and private insurance carriers."

  • Click here to read the report: Fraud, Waste, and Abuse Detection in Retail Pharmacy: T
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SOURCE Pharmaceutical Care Management Association
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