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payment, which may take the form of a copayment, coinsurance, or a deductible (collectively "copays"). similarly, under champva, patients may be required to pay a copay for medications. congress included copay requirements in the medicare program, in part, to serve as a check on health care costs, including
"kickback schemes undermine the integrity our nation's healthcare system, including healthcare benefits administered by the u.s. department of veterans affairs," said special agent-in-charge sean smith, va office of inspector general, northeast field office....
https://www.justice.gov/opa/pr/three-pharmaceutical-companies-agree-pay-total-over-122-million-resolve-allegations-they-paid