16 results for 'cat:"Health Care" AND cat:"False Claims"'.
J. Hall denies the healthcare provider's and hospital's motions to dismiss an action brought by the relators alleging healthcare fraud schemes in violation of the False Claims Act. The relators claimed an individual paid illegal kickbacks to surgeons to have them use spinal equipment and devices in hundreds of surgeries performed at the hospital. The relators' request to amend the complaint is granted and they are ordered to file the amended complaint within 14 days. The relators failed to sufficiently allege that payments made to the surgeons were above fair market value for their services or that the hospital willfully induced the alleged conduct violating the anti-kickback statute. The relators also failed to sufficiently allege details showing that the providers submitted false claims to the government for reimbursement.
Court: USDC Southern District of Georgia, Judge: Hall, Filed On: August 9, 2024, Case #: 1:23cv158, NOS: False Claims Act - Torts - Personal Injury, Categories: health Care, false Claims
J. D’Agostino preserves for the most part a False Claims Act and whistleblower retaliation complaint against a gynecological practice based in Syracuse, finding it sufficiently alleges it submitted false insurance claims that sought reimbursement for medical services that were never performed, and further retaliated against the litigant — one of its division directors — for her reports regarding the illegal acts and for her refusal to participate in what she describes as fraudulent and dangerous patient care.
Court: USDC Northern District of New York, Judge: D’Agostino, Filed On: July 31, 2024, Case #: 5:20cv630, NOS: Qui Tam (31 U.S.C. § 3729(a)) - Torts - Personal Property, Categories: Fraud, health Care, false Claims
J. Settle dismisses the doctor's complaint that the global healthcare company engaged in various illegal schemes to persuade patients and physicians to obtain its hemophilia drug called NovoSeven rather than a drug called FEIBA. The doctor alleges that the fact that Medicare paid the global healthcare company over $1 billion for NovoSeven for about 200 patients between 2008 and 2017 supports her false claims allegations, but raw claims data is not enough to establish the link between alleged misconduct and the submission of false claims.
Court: USDC Western District of Washington, Judge: Settle, Filed On: July 30, 2024, Case #: 3:23cv5459, NOS: False Claims Act - Torts - Personal Injury, Categories: health Care, false Claims
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J. Cabell finds health care providers, who are accused of misleading a relator into ordering expensive, medically unnecessary PCR urine tract infection testing, have waived their right to withhold certain documents based on attorney-client privilege. They previously produced these documents for the U.S. government before retrieving them once they found out the government shared them with the relator. The providers were too late to invoke the claw-back provision.
Court: USDC Massachusetts, Judge: Cabell, Filed On: June 7, 2024, Case #: 1:18cv12558, NOS: Qui Tam (31 U.S.C. § 3729(a)) - Torts - Personal Property, Categories: health Care, Discovery, false Claims
J. Gershon dismisses, with prejudice, a third-amended False Claims Act suit against the maker of durable medical equipment and two health care providers alleging they submitted fraudulent reimbursement claims to Medicare and Medicaid. The relators fail to allege they were the original sources of the information at the heart of their case and thus fail to meet the law’s original source exception.
Court: USDC Eastern District of New York, Judge: Gershon, Filed On: April 30, 2024, Case #: 1:18cv2600, NOS: False Claims Act - Torts - Personal Injury, Categories: Fraud, health Care, false Claims
J. Kness grants a pharmacy chain’s motion to dismiss the government’s joint complaint and intervention, but denies the pharmacy chain’s motion to dismiss the relators’ third amended complaint. This suit involves the pharmacy chain’s alleged attempt to garner Medicare and Medicaid kickbacks by inducing Cook County patients to fill their prescriptions at one of its specialty pharmacy locations. The court finds the government’s intervention does not allege a proper theory of False Claims Act liability, but that the relators’ amended complaint does.
Court: USDC Northern District of Illinois, Judge: Kness, Filed On: March 29, 2024, Case #: 1:14cv1558, NOS: False Claims Act - Torts - Personal Injury, Categories: Fraud, health Care, false Claims
J. Casper allows four science companies’ motion to dismiss a lawsuit brought by a man who claims they violated the False Claims Act by allegedly causing Moderna and Pfizer to submit false claims to the federal government. The man fails to state who, specifically, at these companies falsely certified good manufacturing standards compliance of their vaccines to the government.
Court: USDC Massachusetts, Judge: Casper, Filed On: March 15, 2024, Case #: 1:21cv10866, NOS: Qui Tam (31 U.S.C. § 3729(a)) - Torts - Personal Property, Categories: health Care, false Claims, Covid-19
J. Rodriguez denies several motions, including a motion for a new trial, brought by a healthcare provider after it was subject of a qui tam lawsuit involving fraudulent Medicare billing. While the healthcare company now disputes the methodology by which the number of false claims were counted, “it is simply too late” at this stage for the company to raise this issue, not least because it previously agreed on jury instructions.
Court: USDC Western District of Texas , Judge: Rodriguez, Filed On: January 30, 2024, Case #: 5:17cv317, NOS: False Claims Act - Torts - Personal Injury, Categories: Government, health Care, false Claims
J. Sanchez denies a petition for panel rehearing and enters an amended order reversing the district court’s dismissal of the relator's action under the False Claims Act against Dr. Falk Pharma GmbH and drugmaker Valeant Pharmaceuticals International, Inc. The relator claims that Valeant fraudulently obtained two sets of patents related to a drug and used those patents to stifle competition from generic drugmakers. Publicly disclosed facts did not make a direct claim that Valeant committed fraud or permit a reasonable inference of fraud, so the public disclosure bar was not triggered. Reversed.
Court: 9th Circuit, Judge: Sanchez, Filed On: January 5, 2024, Case #: 20-16176, Categories: health Care, Patent, false Claims
J. Boyle grants, in part, a healthcare billing company's motion to seal or redact certain exhibits in a false claims case regarding its alleged failure to timely bill liable third-parties, costing Medicaid agency clients millions. Certain exhibits, such as those concerning industry-specific business processes, warrant redaction.
Court: USDC Northern District of Texas , Judge: Boyle, Filed On: December 13, 2023, Case #: 3:19cv920, NOS: Qui Tam (31 U.S.C. § 3729(a)) - Torts - Personal Property, Categories: Civil Procedure, health Care, false Claims