Blog

»  Posts By   January 2015 

The Telemedicine Trend in Healthcare

Telemedicine is a rapidly growing method of practicing medicine by way of electronic communication. It is only logical that advancements in both technology and communication would alter the age-old practice of medicine. Engaging in this practice of remote healthcare allows providers to reach more patients and grow their businesses by providing health care services, such as primary and specialty care and remote patient monitoring, via videoconference rather than requiring all...

2015 Pharmacy Marketing Wars: Litigation Between Pharmacies and Marketing Reps Is On the Rise

With changes in reimbursement structures for compound medications, and with increasing scrutiny from pharmacy benefit managers, pharmacies’ relationships with marketing representatives has undergone some recent transitions. One of the principal results of these changes is a sharp rise in disputes and litigations between pharmacies and marketing representatives. Whether they are W-2 employees or 1099 independent contractors, there are several important and critical legal issues that pharmacies must be aware of...

OIG’s Semiannual Report for April-Sept is Out; Shows Expected Recovery of $4.1 Billion

By Jonathan E. Levitt, Esq. The Office of Inspector General (OIG) submits semiannual reports to Congress, summarizing the activities of the OIG and the Department of Health and Human Services. In its Reports, the OIG proposes improvements it deems necessary for implementation by Federal and State agencies, in order to improve the efficiency and effectiveness of the Department of Health and Human Services programs. Particularly relevant in its latest Report (Semiannual...

OIG Provides New Guidance on Copayment Assistance Programs for Low-Income Patients

In the first week of the New Year, the OIG released an Advisory Opinion regarding copayment assistance programs. The requestor of the Opinion was a non-profit organization seeking to provide assistance to low income patients. Specifically, the Advisory Opinion (OIG Advisory Opinion No. 14-11) stated that the non-profit’s proposed arrangement – which involved the provision of copayment assistance to financially needy patients (including Medicare and Medicaid beneficiaries) diagnosed with Crohn’s...

PBMs Ratchet Up Scrutiny Over Direct-to-Patient Marketing Relationships

Over the past several months, a new brand of marketing has emerged in the compound pharmacy space, shifting from marketing aimed at prescribing physicians, to direct-to-consumer marketing of compounded pain creams. Using telemarketing techniques or other lead generation strategies, these companies contact potential patients directly, and inquire about whether they might be interested in or be appropriate candidates for receiving certain medications, including compounded preparations. While this may be a...