This collection contains health care-related fraud settlements between states and/or the federal government and private companies that generally result from complaints filed under the False Claims Act. Many of the settlements are accompanied by Corporate Integrity Agreements (CIA). Some settlements have the compliance terms included within their text. In some cases PLUS does have original or amended complaints. The cost for each settlement with any available CIA, if requested, is $27 plus shipping, handling and any applicable state tax.
| Parties | Court | Amount |
| Fraud/Topic | Date | CIA? | |
|
| U.S. v. Leewood Health Care Center |
E.D. Va. |
$50,000 improvements |
 |
| Substandard Care |
12/23/03 |
N |
|
| U.S. ex rel. Steeley v. St. Mary's Warrick Hosp. |
M.D. TN. |
$137,000 |
|
| Pneumonia coding |
12/22/03 |
N |
|
| U.S. and WVa v. Charleston Area Medical Center |
S.D. WVa |
$1.3 mill. |
|
| Medicare/Medicaid billing |
12/19/03 |
Y |
|
| U.S. ex rel. Steeley v. BJC Medical Center |
M.D. TN. |
$124,000 |
|
| Pneumonia coding |
12/17/03 |
N |
|
| U.S. ex rel. Scott v. Metropolitan Health C. |
W.D. Mich. |
$6.25 mill. |
|
| Stark law violations |
12/9/03 |
N |
|
| U.S. ex rel. Steeley v. Rush Found. Hosp. |
M.D. TN. |
$230,000 |
|
| Medicare billing |
12/5/03 |
N |
|
| U.S. ex rel. Pollak v. Bd. of Trust. U. of Illinois |
N.D. Ill. |
$2 mill. |
|
| Liver transplant fraud |
11/17/03 |
N |
|
| U.S. ex rel. Pumroy v. Daughters of Charity Natl. Health System |
D. Md. |
$1.6 mill. |
|
| Radiology billing |
11/12/03 |
Y |
|
| U.S. v. Columbia Univ. |
S.D.N.Y. |
$480,000 |
|
| Medicare billing |
10/1/03 |
N |
|
| N.Y. v. the Park Assoc. |
NA |
$3 mill. |
|
| Inadequate staff |
10/03 |
N |
|
| U.S. v. Magellan Health Services, Inc. |
N.D. Ga. |
$1.1 mill. |
|
| Medicare billing |
9/18/03 |
N |
|
| In re Managed Care Litigation (CIGNA HealthCare) Corp. |
S.D. Fla. |
$550 mill. |
|
| Violation of federal racketeering & state prompt-pay laws |
9/5/03 |
N |
|
| U.S. v. Angel Med. Cntr. |
W.D.N.C. |
$1.1 mill. |
|
| Medicare billing |
9/03 |
N |
|
| U.S. v. Orthofix Inc. |
N.D. Tex. |
$1.7 mill. |
|
| Medicare billing |
8/15/03 |
N |
|
| U.S. ex rel. Steeley v. St. Joseph Hosp. & Health |
M.D. TN. |
$59,456 |
|
| Pneumonia coding |
8/6/03 |
N |
|
| U.S. v. Redding Med. Cntr. Tenet Healthcare Corp., & Tenet HealthSystems Hosp. |
E.D. Cal. |
$54 mill. |
|
| Unnecessary cardiac procedures |
8/5/03 |
C |
|
| U.S. v. Abbott Labs. |
S.D. Ill. |
$400 mill. |
|
| Med. Equip. fraud |
7/23/03 |
Y |
|
| U.S. ex rel. E.T. v. Public Health Trust of Miami Dade Co. |
S.D. Fla. |
$16.8 mill. |
|
| Medicaid billing |
7/3/03 |
N |
|
| U.S. v. Woodbine Rehab. and Healthcare Center |
E.D. Va. |
$78,000 |
|
| Failure to meet federal standards |
7/2/03 |
N |
|
| U.S. v. Lamoille Ambulance Service |
D. Vt. |
$225,000 |
|
| Medicare billing |
7/1/03 |
Y |
|
| Mass. v. Elaine Mishel Shoe Store |
Ma. Supt.Ct. |
$336,000 |
|
| Medicaid fraud |
7/1/03 |
N |
|
| U.S. ex rel. Pollak v. Northwestern Mem. Hosp. |
N.D. Ill. |
$23,587 |
|
| Liver transplant fraud |
7/03 |
N |
|
| U.S. ex rel. Pollak v. U. of Chicago Hospitals |
N.D. Ill. |
$115,000 |
|
| Liver transplant fraud |
7/03 |
N |
|
| In re: Columbia/HCA Healthcare Corp. |
D.D.C. |
$1.7 billion |
|
| Medicare fraud |
6/26/03 |
N |
|
| U.S. ex rel. Durand v. AstraZeneca Pharm. |
D. Del. |
$355 mill. |
|
| Drug pricing/marketing |
6/20/03 |
Y |
|
| U.S. v. EndoVascular Tech. Inc. (Guidant) |
N.D. Cal. |
$92.4 mill. |
|
| Failure to report problems |
6/12/03 |
Y |
|
| Texas ex rel. Ven-a-Care of the Florida Keys v. Day Inc. (includes the U.S.) |
Tex. Dist. Ct. |
$18.5 mill. |
|
| Medicaid fraud |
6/11/03 |
N |
|
| In re Managed Care Litigation –Aetna |
S.D. Fla. |
$450 mill. |
|
| Violation of federal racketeering & state Prompt-pay laws |
5/22/03 |
N |
|
| U.S. ex rel. Estate of George Couto v. Bayer |
D. Mass. |
$257 mill. |
|
| "lick and stick" scheme |
4/03 |
Y |
|
| United States v. SmithKlineBeecham Corp. (d/b/a/ GlaxoSmithKiline) |
D. Mass. |
$87.6 mill. |
|
| "lick and stick" scheme |
4/03 |
Y |
|
| U.S. v. Ruxton Health Care |
E.D. Va. |
$40,000 |
|
| Inadequate care |
3/25/03 |
N |
|
| U.S. ex rel. Kazimiroff v. Dentsply Intl. Inc. |
E.D. Pa. |
$600,000 |
|
| Billing fraud |
3/03 |
N |
|
| U.S. ex rel. Cosens v. The Methodist Hospital (Lubbock, Tex.) |
S.D. Tex. |
$2.8 million |
|
| False Medicare billing (cardiac devices) |
2/21/03 |
N |
|
| U.S. ex rel. King v. San Diego Hosp. Assoc. |
S.D. Cal. |
$6.2 mill. |
|
| Organ Acquisition Costs |
2/17/03 |
Y |
|
| U.S. v. Johns Hopkins U. |
D.Md. |
$800,000 |
|
| Medicare billing |
2/14/03 |
N |
|
| U.S. ex rel. Schwiderski v. Northwestern Univ. |
N.D. Ill. |
$5.5 mill. |
|
| False claims for grants |
2/6/03 |
N |
|
| U.S. v. Cooper Health Sys. |
D.N.J. |
$400,000 |
|
| Medicare billing |
1/10/03 |
N |
|
| U.S. ex rel. Health Outcomes v. Parkway Reg. Medical Center (Tenet Healthcare) and 4 other FL. Hospitals. |
S.D. Fla. |
$4.2 mill. |
|
| Improper billing (DRGs) |
1/03 |
N |
|
