Retailers typically purchase drugs based on the wholesale acquisition cost (WAC) and base co-pays and charges to third-party payers
using the AWP, court documents show.
The defendant drug companies' conspiracy to prevent the sale of the generic version of Cardizem CD denied consumers and third-party payers
the opportunity to use a significantly less costly generic equivalent.
Most courts have rejected claims by unions and third-party payers
, ruling that plaintiffs lack standing to sue because claims by third-party payers
are too remote from any alleged injuries," Donahue said.
The 51 groups that responded were questioned about the characteristics of their practice, with special emphasis on contracting with third-party payers
Individuals with problems such as lack of fulfillment or poor interpersonal relations are routinely labeled with dysthymia or another official diagnosis so that third-party payers
will cover psychotherapy visits.
The economic impacts of pain and suffering are of concern to the patient and society, but may not be relevant to a purely economic analysis of costs from the perspective of health-care providers or third-party payers
The problem is exacerbated in medical practices by the fact that the receivables from third-party payers
will generally be collected at a lesser amount than the total charge.
That the types of psychotherapeutic interventions selected are driven significantly by the payment structure of third-party payers
rather than by client needs or therapist competencies is a scary thought.
The settlement adds to a series of victories and verdicts in the AWP cases filed by HBSS that has returned hundreds of million dollars to consumers and third-party payers
from an array of pharmaceutical defendants.
BOSTON, March 24 /PRNewswire/ -- Last week a United States District Court judge certified a nationwide class-action lawsuit against McKesson Corporation that could become the largest class action in the United States, potentially totaling $7 billion in damages for consumers and third-party payers
No matter what third-party payers
say about caring for the patient, it's all about cost.
and their managed care intermediaries are looking to nursing homes to deal with a sicker level of patient, and these payers demand to see outcomes.