Kmart Pays $1.4M to Settle False Claims Allegations

Kmart Pays $1.4M to Settle False Claims Allegations

True or False: It is permissible for providers to offer their Medicare/Medicaid patients drug manufacturer coupons for brand name drugs.

The answer is: False. Such inducements may cause beneficiaries to seek expensive, brand name drugs in lieu of cheaper generic drugs, which causes the government’s costs to increase without any medical benefit to the beneficiaries.

Kmart found this out the hard way. The discount department store chain just agreed to pay the United States $1.4 million to resolve allegations that it violated the False Claims Act.

In this whistleblower case, according to a September 1 Department of Justice (DOJ) press release, Kmart allegedly used drug manufacturer coupons and gasoline discounts to induce Medicare beneficiaries into doing business with their in-store pharmacies. The government also alleged that Kmart improperly encouraged Medicare beneficiaries to bring their prescriptions to Kmart pharmacies by offering them varying levels of discounts on gasoline at participating gas stations, based on the number of prescriptions they filled at Kmart pharmacies.

“Federal law prohibits a person from offering beneficiaries of certain federal health programs, such as Medicare, remuneration that is intended to influence the beneficiary’s choice of provider,” according to the DOJ.

Read the DOJ press release for complete details.

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Renee Dustman

Renee Dustman

Renee Dustman is executive editor at AAPC. She has a Bachelor of Science degree in Journalism and a long history of writing just about anything for just about every kind of publication there is or ever has been. She’s also worked in production management for print media, and continues to dabble in graphic design.
Renee Dustman

About Has 425 Posts

Renee Dustman is executive editor at AAPC. She has a Bachelor of Science degree in Journalism and a long history of writing just about anything for just about every kind of publication there is or ever has been. She’s also worked in production management for print media, and continues to dabble in graphic design.

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