CVS subsidiary Oak Street Health has agreed to pay $60 million to settle accusations that it violated the False Claims Act by offering kickbacks to third-party insurance agents in return for referring older adults to its primary care clinics.The U.S. government claimed that in 2020, Oak Street Health, a primary care provider, launched a program to grow its patient base.

CVS子公司Oak Street Health已同意支付6000万美元，以解决其违反《虚假索赔法》的指控，该公司向第三方保险代理人提供回扣，以换取将老年人转诊至其初级保健诊所。美国政府声称，2020年，初级保健提供者橡树街健康中心（Oak Street Health）启动了一项扩大患者基础的计划。

According to a Sept. 18 news release from the Justice Department, as part of this program, third-party insurance agents reached out to older adults eligible for or enrolled in Medicare Advantage, promoting Oak Street Health's services. These agents then allegedly connected interested individuals with Oak Street Health staff through a three-way phone call, known as a 'warm transfer,' or by submitting their information electronically.

根据司法部9月18日发布的新闻稿，作为该计划的一部分，第三方保险代理人向符合Medicare Advantage条件或参加Medicare Advantage的老年人伸出援助之手，推广Oak Street Health的服务。据称，这些特工随后通过三方电话（称为“热转帐”）或通过电子方式提交信息，将感兴趣的个人与橡树街卫生人员联系起来。

In return, Oak Street Health paid the agents $200 for each person it referred. According to the release, these payments encouraged agents to prioritize financial gains for Oak Street Health over the best interests of the older adults. The settlement addresses allegations that, between September 2020 and December 2022, Oak Street Health knowingly submitted false claims to Medicare by offering illegal payments to agents, violating the Anti-Kickback Statute.CVS acquired Oak Street Health for $10.6 billion in May 2023. .

作为回报，Oak Street Health为其推荐的每个人向代理人支付了200美元。根据新闻稿，这些付款鼓励代理人将橡树街健康的财务收益优先于老年人的最佳利益。该和解解决了以下指控：2020年9月至2022年12月，橡树街健康保险公司故意向医疗保险公司提交虚假索赔，向代理人提供非法付款，违反了反回扣法规。2023年5月，CVS以106亿美元收购了Oak Street Health。