Eli Lilly Fights $183M Medicaid Fraud Judgment, Cites Reasonable Interpretation Of Medicaid Rules
Eli Lilly Fights $183M Medicaid Fraud Judgment, Cites Reasonable Interpretation Of Medicaid Rules
The U.S. pharma giant claims it is being wrongfully held liable despite adhering to its interpretation of Medicaid's complex rebate requirements.On Wednesday, Eli Lilly And Co (NYSE:LLY) has urged a federal appeals court to overturn a $183 million judgment stemming from accusations of defrauding Medicaid.
禮來公司（紐交所：LLY）在週三敦促聯邦上訴法院推翻涉嫌欺詐醫療保險的訴訟案件的一項18300萬美元的判決。
The case, initiated in 2014, alleges that Eli Lilly underreported drug prices to Medicaid, resulting in smaller rebates owed to the program.
這起案件始於2014年，指控禮來公司對醫療保險報告藥品價格進行了低報，導致該計劃應該支付的回扣較少。
Last week, Walgreens Boots Alliance Inc. (NASDAQ:WBA) agreed to pay $106.8 million to settle allegations that it submitted false claims to government healthcare programs, violating the False Claims Act and state regulations.
上週，沃爾格林-聯合博姿股份有限公司（NASDAQ：WBA）同意支付10680萬美元，以解決其向政府醫療保健計劃提交虛假索賠、違反虛假索賠法和州法規的指控。
The U.S. pharma giant claims it is being wrongfully held liable despite adhering to its interpretation of Medicaid's complex rebate requirements.
這家美國製藥巨頭聲稱，儘管遵守自己對複雜回扣要求的解釋，卻被錯誤地承擔責任。
The claims also highlight that Eli Lilly failed to disclose price increases billed to distributors, which were not reflected in its Medicaid pricing reports.
訴訟還強調禮來公司未能披露向經銷商增加的價格，這些價格未反映在其醫療保險定價報告中。
Reuters noted that Eli Lilly started reporting price increases after a 2017 rule change, though the company claims it had previously informed regulators about its pricing practices without facing any objections.
路透社指出，禮來公司在2017年的規定變更後開始報告價格上漲，儘管該公司聲稱以前已經向監管機構報告了其定價實踐，並未遭到任何反對意見。
In 2022, a U.S. District Judge rejected Eli Lilly's motion for summary judgment, ruling that its price statements were misleading and allowing the case to proceed. In May 2023, a jury found Eli Lilly responsible for $61 million in damages, which were tripled to $183 million under the federal False Claims Act.
2022年，一位美國地區法官駁回了禮來公司要求判決的動議，裁定其價格聲明具有誤導性，並允許案件繼續進行。2023年5月，陪審團認定禮來公司應承擔6100萬美元的賠償責任，根據聯邦虛假索賠法將賠償額翻了三倍，達到18300萬美元。
Most recently, Oak Street Health, a subsidiary of CVS Health Inc (NYSE:CVS), agreed to settle for $60 million following allegations that it violated the False Claims Act.
最近，CVS Health Inc（紐交所：CVS）旗下子公司Oak Street Health同意支付6000萬美元，以解決違反虛假索賠法的指控。
The claims involved paying kickbacks to third-party insurance agents to recruit seniors to its primary care clinics, a practice that led to false Medicare submissions.
這些指控涉及向第三方保險代理支付回扣，以招募老年人前往其初級保健診所，這種做法導致虛假的醫保申請。
The case has garnered attention from major business groups, including the U.S. Chamber of Commerce and Pharmaceutical Research and Manufacturers of America (PhRMA). These organizations argue that upholding the judgment would create uncertainty for regulated companies.
這起案件引起了包括美國商會和美國製藥研究與製造商協會（PhRMA）在內的主要商業團體的關注。這些組織認爲，維護這一判決會給受監管公司帶來不確定性。
Price Action: LLY stock is trading higher by 1.45% to $928.28 premarket at the last check on Friday.
股價走勢：LLY股票在上週五最後一次檢查時，盤前交易價格上漲了1.45%，至928.28美元。
Disclaimer: This content was partially produced with the help of AI tools and was reviewed and published by Benzinga editors.
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譯文內容由第三人軟體翻譯。