165
Walgreens and CVS should be broken up. Cvs is even worse somehow with their fake insurance company that forces you to get prescriptions only from cvs.
"Inadvertently" is carrying a lot of weight there.
I could pretty easily see how such a bug could happen if the description in the article is accurate.
The right way to do it is to have the entire transaction in some pending state, and nothing is permanently saved anywhere until the transaction is completed. (This is called an atomic operation. It usually applies to distributed databases, but the same concept applies here, where the transaction takes a long time to succeed or fail.)
If, instead, you add it to the "reimbursement list" while putting the actual "make the pill" and billing part in the pending state, then forget to remove it when the transaction isn't completed, you get the outcome described in the article.
This would make sense on a smaller operation without a huge dedicated accounting team, fact that whistleblowers had to testify to fix it makes me doubt that's the case.
They get a cash payout as a whistleblower. I could easily see not reporting it directly and reporting it through the channels that pay them instead. Also, if they contracted out, they may not have anyone with the basic understanding of tech to identify the issue even if "these requests shouldn't have been filed" was reported up the chain.
It's still negligence, but it doesn't have to be deliberate fraud.
I mean, it's possible that the software bug happened organically, but certainly at some point in the last decade management must have heard about it.
This is what I am saying. It stops being an accident and instead a cover-up the moment anyone in management knows about it.
submitting false payment claims to Medicare, Medicaid and other federal health care programs between 2009 and 2020 for prescriptions that were processed but never picked up
It took 40 years, but we finally found a welfare queen!
I'm of two minds here. Part says they could and should lose their license to dispense and government contracts; the other part knows this is often the only pharmacy people can access.
Nationalize healthcare.
Absolutely agree with that.
im on board (and have been for quite some time)
I hear that, brother. The politicians need to be planning a new deal; Americans are fed up with high costs and no benefits, other than making enemies around the globe and prison slavery pipeline.
yeah instead of a chicken in every pot how about eveyone can see a doc.
See a doc, afford medical compliance, rent, could care, transportation, food, rest and leisure would be a bare minimum beginning.
its our pharmacy but the real bad part is then we are just stuck with cvs. its like taking out comcast.
Sounds like the company needs to be forced to pay for full time government employees who supervise the company to insure compliance.
I'd prefer rich corporations and individuals be heavily taxed to pay for universal comprehensive care. No means testing, deductibles, or copay.
Absolutely agree, but at some point there will still be someone reporting expenses to the government and that needs to be trustworthy info.
They'll be filing for bankruptcy within a decade tops, anyways.
And laughing all the way to their offshore banks, should that happen.
Everyone wants AI, so make a system that scans for doctors, drug prescription, and frequency of prescription. (Above). Hire people to review doctors and accuracy (see above).
Do random sampling with people investing if incorrect. Make doctors upload prescription direct to a system that has the information protected from third parties.
People just go onto a site to request next dose after a safe period of designated time. Click the code associated with original package mail to house by USPS.
Hire people for support and accuracy of delivery. Pay all involved a livable wage with good benefits.
Either manufacturer or work with companies to supply effect low cost options with refund directed in R&D ( lower corporate tax rate or cash ).
Strong economy follows.
Questions? Suggests? Comments?
this post was submitted on 15 Sep 2024
165 points (98.8% liked)
News
22886 readers
4141 users here now
Welcome to the News community!
Rules:
1. Be civil
Attack the argument, not the person. No racism/sexism/bigotry. Good faith argumentation only. This includes accusing another user of being a bot or paid actor. Trolling is uncivil and is grounds for removal and/or a community ban.
2. All posts should contain a source (url) that is as reliable and unbiased as possible and must only contain one link.
Obvious right or left wing sources will be removed at the mods discretion. We have an actively updated blocklist, which you can see here: https://lemmy.world/post/2246130 if you feel like any website is missing, contact the mods. Supporting links can be added in comments or posted seperately but not to the post body.
3. No bots, spam or self-promotion.
Only approved bots, which follow the guidelines for bots set by the instance, are allowed.
4. Post titles should be the same as the article used as source.
Posts which titles don’t match the source won’t be removed, but the autoMod will notify you, and if your title misrepresents the original article, the post will be deleted. If the site changed their headline, the bot might still contact you, just ignore it, we won’t delete your post.
5. Only recent news is allowed.
Posts must be news from the most recent 30 days.
6. All posts must be news articles.
No opinion pieces, Listicles, editorials or celebrity gossip is allowed. All posts will be judged on a case-by-case basis.
7. No duplicate posts.
If a source you used was already posted by someone else, the autoMod will leave a message. Please remove your post if the autoMod is correct. If the post that matches your post is very old, we refer you to rule 5.
8. Misinformation is prohibited.
Misinformation / propaganda is strictly prohibited. Any comment or post containing or linking to misinformation will be removed. If you feel that your post has been removed in error, credible sources must be provided.
9. No link shorteners.
The auto mod will contact you if a link shortener is detected, please delete your post if they are right.
10. Don't copy entire article in your post body
For copyright reasons, you are not allowed to copy an entire article into your post body. This is an instance wide rule, that is strictly enforced in this community.
founded 1 year ago
MODERATORS