Phillips & Cohen partners Edward Arens and Claire Sylvia discuss with Law 360 the $90 million settlement with Humana.
“Although Humana asserted in court documents that the predictions underlying its bids were merely estimates about future behavior, they worked in Humana’s favor 100% of the time over seven years and for 245 bids,” Edward Arens of Phillips & Cohen, one of Scott’s attorneys, said in a statement on Friday. “The odds that a big insurer would ‘miss’ on an important assumption in the same way that many times in a row are too small to measure.”
“The Part D program depends on insurance companies paying their minimum share of drug costs,” Phillips & Cohen’s Claire Sylvia said.
Read the entire article, “Humana To Pay $90M To End 8-Year Medicare Drug FCA Battle,” Law 360, August 16, 2024.