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Pricing failure, with waste ranging $231 bn – $241 bn. Fraud and abuse, waste between $59 bn and $84 bn; and, Administrative complexity, wasting about $266 bn each year. Pricing failure, the second big waste factor, is predominantly challenged by pharmaceutical/prescriptiondrugpricing based on this research.
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First, the matter underscores the extreme sensitivity of the OIG to prescriptiondrugpricing issues, as the proposed program effectively would remove potential disincentives to manufacturer price increases. This result, however, does clarify a few areas. Nicholson v. Medcom Carolinas, Inc. , 4th 185 (4th Cir.
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