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UPDATE: Georgia Hospital Settles Amid Allegations of Unlawful Kickbacks in Exchange for Obstetric Referrals

In 2014, we covered the government’s decision to intervene in a False Claims Act lawsuit involving several Central Georgia-area hospitals and possible Medicaid fraud. As a bit of review, the case involved several hospitals, including Tenet Healthcare, Health Management Associates, and Clinica de la Mama, an OB/GYN facility geared toward […]

Berger Montague Exploring Possible Fraud Within Indexed Universal Life Insurance Policies

An indexed universal life insurance policy is a financial product designed to offer policyholders a variable return rate on their insurance funds, usually tied to the daily rates as set by entities like Standard & Poor’s. More specifically, these policies – which are predominantly similar to traditional universal life insurance […]

Multiple Whistleblower Lawsuits Against Novartis Could Amount to $3 Billion in Fines and Penalties

In one of the largest potential whistleblower settlements[1. http://taf.org/blog/costly-kickbacks-novartis-potentially-faces-3-billion-fines] to date, drug maker Novartis is facing a staggering $3.35 billion in fines and penalties from the Department of Justice over two of its best-selling prescription medications: Exjade and a treatment for kidney transplant patients. In a separate concurrent whistleblower lawsuit against the […]

AstraZeneca & Celaphon to Pay Whopping $54 Million to Settle Claims of Fraud Against Medicaid

In today’s case, we examine a recent False Claims Act settlement involving the Medicaid drug rebate program. The drug rebate program[1. http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Benefits/Prescription-Drugs/Medicaid-Drug-Rebate-Program.html] is essentially a partnership between the Center for Medicare and Medicaid Services (CMS), state Medicaid offices, and private drug manufacturers. Generally, private drug manufacturers are offered the opportunity to […]

UPDATE: Tuomey Healthcare System Loses Appeal; Owes Quarter-Billion in False Claims Act Verdict

In 2013, we covered a historic False Claims Act verdict entered by the U.S District Court for the District of South Carolina against Tuomey Healthcare System. In that case, a whistleblower-physician alleged that the company was requiring doctors to agree to referral schemes that violated both the False Claims Act […]