18 results for 'cat:"Health Care" AND cat:"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
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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
J. Gershon dismisses a False Claims Act whistleblower complaint brought against an oncology clinic for allegedly charging Medicare for overfill oncology medications. The litigant, a healthcare provider, fails to allege its principal had firsthand knowledge of the defendant’s actions or conducted a thorough investigation to corroborate claims made by other sources. As well, it fails to show that the defendant voluntarily disclosed relevant information to the U.S. government, a requirement under the law.
Court: USDC Eastern District of New York, Judge: Gershon, Filed On: September 8, 2023, Case #: 1:19cv5125, NOS: False Claims Act - Torts - Personal Injury, Categories: health Care, Medicare, false Claims
J. Khalsa grants the government's motion to dismiss, ruling the employee of the Medicaid health care organization cannot bring suit under the False Claims Act. He was not the primary source of the allegations regarding the company's refusal to refund overpayments, which bars his suit under the public disclosure doctrine.
Court: USDC New Mexico, Judge: Khalsa, Filed On: August 28, 2023, Case #: 1:16cv1148, NOS: False Claims Act - Torts - Personal Injury, Categories: Government, health Care, false Claims
J. Gorton denies a pharmaceutical company’s motion for summary judgment and grants the federal government’s motion for partial summary judgment in a case against the pharmaceutical firm for allegedly paying kickbacks for false Medicare claims through illegal copay subsidies on Copaxone, a drug for multiple sclerosis. There are emails from the drug maker’s employees that show its employees believe that the company would have lost Copaxone sales if it didn’t offer the subsidies. Anti-kickback statute violations that result in federal health care payments are automatically considered false claims under the False Claims Act.
Court: USDC Massachusetts, Judge: Gorton, Filed On: July 14, 2023, Case #: 1:20cv11548, NOS: False Claims Act - Torts - Personal Injury, Categories: health Care, Medicare, false Claims
J. Brinkema grants the government's motion for summary judgment in a False Claims Act suit. The medical company, accused of lying to Medicare to receive extra reimbursements, failed to file an answer nor request additional time to retain counsel.
Court: USDC Eastern District of Virginia, Judge: Brinkema, Filed On: May 26, 2023, Case #: 1:22cv965, NOS: False Claims Act - Torts - Personal Injury, Categories: health Care, Medicare, false Claims