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.
周三，礼来公司（纽约证券交易所代码：LLY）敦促联邦上诉法院推翻一项1.83亿美元的判决，该判决源于欺诈医疗补助的指控。
The case, initiated in 2014, alleges that Eli Lilly underreported drug prices to Medicaid, resulting in smaller rebates owed to the program.
该案始于2014年，指控礼来公司向医疗补助计划低报了药品价格，导致该计划的回扣减少。
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.
上周，Walgreens Boots Alliance Inc.（纳斯达克股票代码：WBA）同意支付1.068亿美元，以解决有关其违反虚假索赔法和州法规向政府医疗保健计划提交虚假索赔的指控。
The U.S. pharma giant claims it is being wrongfully held liable despite adhering to its interpretation of Medicaid's complex rebate requirements.
这家美国制药巨头声称，尽管遵守了对医疗补助复杂回扣要求的解释，但它还是被错误地追究了责任。
The claims also highlight that Eli Lilly failed to disclose price increases billed to distributors, which were not reflected in its Medicaid pricing reports.
这些说法还突出表明，礼来公司未能披露向分销商收取的涨价费用，这并未反映在其医疗补助定价报告中。
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，礼来公司在2017年规则变更后开始报告价格上涨，尽管该公司声称此前已在没有遇到任何异议的情况下向监管机构通报了其定价做法。
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，美国地方法院法官驳回了礼来公司的即决判决动议，裁定其价格陈述具有误导性，并允许该案继续审理。2023年5月，陪审团裁定礼来公司对6100万美元的损害赔偿负责，根据联邦《虚假索赔法》，赔偿金增加了两倍，达到1.83亿美元。
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（纽约证券交易所代码：CVS）的子公司橡树街健康因被指控违反《虚假索赔法》而同意以6000万美元达成和解。
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.
这些索赔涉及向第三方保险代理人支付回扣，以招募老年人进入其初级保健诊所，这种做法导致了虚假的医疗保险申报。
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.
该案引起了包括美国商会和美国药物研究与制造商协会（phRMA）在内的主要商业团体的关注。这些组织认为，维持判决将给受监管的公司带来不确定性。
Price Action: LLY stock is trading higher by 1.45% to $928.28 premarket at the last check on Friday.
价格走势：在周五的最后一次支票中，LLY股票盘前交易价格上涨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.
免责声明：此内容部分是在人工智能工具的帮助下制作的，并由Benzinga的编辑审阅和发布。
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