Grocery chain pays huge fine, accused of underreporting prices
A major grocery store operator has agreed to pay a multi-million dollar settlement after being investigated for pricing practices associated with one of its business units.
The case does not focus on how much consumers paid at checkout, but on allegations of how certain amounts are reported behind the scenes.
Federal officials say doctor price reporting practices caused federal health care plans to pay more than they should have, leading to a settlement worth tens of millions of dollars.
The case highlights how disclosure of physician pricing can affect taxpayer-funded health care spending, even when consumers receive discounted pharmacy prices.
Ahold Delhaize agrees to $40M settlement for prescription pricing data
Ahold Delhaize USA (ADRNY) has agreed to pay $40 million to settle allegations that it submitted inflated prescription drug price data to federal health care programs, according to the US Department of Justice (DOJ).
The company operates supermarket chains, including Giant, Hannaford, Stop & Shop, and Food Lion, many of which offer prescription savings programs that offer discount prices to registered customers.
Federal authorities say Ahold Delhaize did not report discounted physician prices as their “usual and customary” rates when billing Medicare Part D, Medicaid, and Tricare. According to the government, this report led to plans to reimburse pharmacies at a higher price than they would have paid.
Payments are related to pharmacy billing procedures and do not include consumer prices at grocery stores.
The details come from a settlement announcement issued by the Department of Justice.
“Federal health care systems rely on pharmacies to report accurate pricing information that is used in applicable payment formulas,” Assistant Attorney General Brett Shumate of the Justice Department’s Civil Division said in a statement.
Shumate added that when pharmacies report prices that are “normal and customary,” federal health care plans end up paying more than they should.
Scott J. Lampert, acting deputy inspector general for investigations at the Office of Inspector General of the US Department of Health and Human Services (HHS-OIG), said improper pricing practices can undermine the integrity of taxpayer-funded health care systems.
How Ahold Delhaize accommodation will be distributed
The allegations were first brought by Lawrence LaBenne, a pharmacist who worked at an Ahold Delhaize supermarket in Pennsylvania.
Under the civil settlement agreement, LaBenne will receive more than $6 million for reporting the alleged conduct.

