On February 23, 2022, the United States Attorney’s Office in Connecticut announced that it had entered into a $310,874 False Claims Act settlement with a psychiatry practice and its owner for knowingly employing an “excluded” physician as the practice’s clinical director. Although the settlement appears to be the result of an investigation the government initiated itself, the . . .
Late yesterday, February 15, 2022, the U.S. Attorney’s Office in Boston announced that Brockton Urology Clinic LLC (Brockton Urology), a physician practice located in North Easton, Massachusetts, agreed to pay $100,000 to resolve False Claims Act allegations that it took money from a hospital to run a clinical program that never existed. Specifically, according to the admitted . . .
On February 9, 2022, the New Hampshire U.S. Attorney’s Office announced that Catholic Medical Center (CMC), a hospital in Manchester, New Hampshire, agreed to pay $3.8 million to resolve allegations that it violated the anti-kickback statute (AKS) and False Claims Act by arranging for a cardiologist to receive “call coverage services at no charge” in exchange for . . .
Today, the Boston U.S. Attorney’s Office announced that Cardinal Health (Cardinal), one of the nation’s largest drug wholesalers, has agreed to pay $13,125,000 to resolve allegations that its specialty drug distribution unit paid kickbacks to certain medical practices by giving them “upfront discounts” that were not associated with specific sales and thus did not function as discounts . . .
A new Congressional report exposes ongoing abuses by pharmaceutical companies that seek to cover up the effects of high drug prices by financing co-pay foundations. On December 10, 2021, the United States House of Representatives Committee on Oversight and Reform issued a lengthy report on drug pricing. The report includes detailed findings on how “[d]rug companies often . . .
In its recent settlement with pharmaceutical company kaléo, Inc., the Department of Justice foreshadowed that it also would be pursuing cases against specialty pharmacies that sold and dispensed Evzio, a kaléo drug. Evzio, a naloxone anti-overdose auto-injector, cost over $4000, while Narcan, which was approved for the same purpose, cost only about $150. Thus, insurers, . . .
In a first-of-its-kind case, the U.S. Attorney’s Office in Boston announced today that kaléo, Inc., the manufacturer of Evzio, an expensive naloxone drug, has agreed to pay $12.7 million to resolve allegations that, among other things, kaléo encouraged doctors to send Evzio prescriptions to particular pharmacies that then submitted fraudulent prior authorization requests to payers . . .
Read More from Pharmaceutical Manufacturer Kaléo Agrees to Pay $12.7 Million to Resolve Allegations that It Paid Kickbacks to Physician Practices and Knowingly Reaped the Benefit of Fraudulent Prior Authorizations Submitted by Specialty Pharmacies
On November 8, 2021, the United States Attorney’s Office in Boston announced that Arthrex Inc., a large, privately-held medical device company, agreed to pay $16 million to resolve a False Claims Act qui tam case alleging that Arthrex used the guise of royalties to pay millions of dollars in kickbacks to a prominent Colorado orthopedic surgeon, Peter . . .
In a 32-page decision issued late yesterday, Southern District of New York Judge Mary Kay Vyskocil granted summary judgment for the government in a case where pharmaceutical giant Pfizer challenged an HHS-OIG Advisory Opinion finding that Pfizer could violate the anti-kickback statute (AKS) if it went ahead with a proposal to provide co-pay assistance for . . .
On September 7, 2021, the U.S. Attorney’s Office in Boston announced a grand jury indictment of medical device company SpineFrontier, Inc., and two of its executives, Kingsley Chin and Aditya Humad, for violating the anti-kickback statute by allegedly paying surgeons bogus “consulting” fees to induce the surgeons to use SpineFrontier products in their surgeries. According to the . . .