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. Life Care Centers of America Inc. (GA) |
N.D. GA. |
$2.5 mill. |
 |
| Fraudulent Medicare & Medicaid billing |
12/22/05 |
Y |
|
| U.S. v. Rush Univ. Med. Cntr. (Chicago) |
N.D. Ill. |
$1 mill. |
 |
| Improper billings |
12/8/05 |
Y |
|
| U.S. v. St. Barnabas Health Care System |
D. NJ. |
$3.8 million |
 |
| Medicare overcharging |
12/6/05 |
N |
|
| New York v. New York Oncology Hematology |
NY Sup. Ct. |
$1.2 mill. |
 |
| Medicaid billing |
12/5/05 |
N |
|
| U.S. ex rel. Pervez v. Beth Israel Med. Cntr. |
S.D.N.Y. |
$72 mill. |
 |
| False statements re. Medicare Reimbursements |
11/30/05 |
Y |
|
| New York v. Americare Certified Special Services (Brooklyn, NY) |
|
$7 mill. |
 |
| Medicaid billing for adult home services |
11/21/05 |
N |
|
| Texas ex rel. Ven-a-Care of the Florida Keys v. Roxane Labs |
Tex. Dist. Ct. |
$10 mill. |
 |
| Fraudulent inflation of reported wholesale price of its drugs |
11/18/05 |
N |
|
| U.S. ex rel. Bogart v. King Pharmaceuticals, Inc. |
E.D. Pa. |
$124 mill. |
 |
| Underpaid rebates Overcharged state and federal entities for drugs |
10/31/05 |
Y |
|
| Florida v. King Pharmaceuticals, Inc. |
E.D. Pa. |
$4.2 mill. |
 |
| Underpaid rebates Overcharged state and federal entities for drugs |
10/31/05 |
N |
|
| U.S. v. Erlanger Medical Center (Tenn.) |
E.D.Tenn. |
$40 mill. |
 |
| Stark law violations & Medicare anti-kickback violations |
10/24/05 |
Y |
|
| U.S. v. Serono Labs |
D. Mass. |
$704 mill. |
 |
| Illegal marketing schemes |
10/17/05 |
Y |
|
| U.S. & State of MD. v. Maryland Gen. Hosp. (MGH) |
D.MD. |
$173,600 |
 |
| Billing for inaccurate lab tests |
9/30/05 |
N |
|
| Academy of Medicine of Cincinnati v. Anthem BC/BS |
Ky. Cir. Ct. |
$160 mill. |
 |
| Conspiracy to keep reimbursement rates artificially law |
9/30/05 |
N |
|
| U.S. v. AdminaStar Federal (U.S. ex rel. Calabrese v. AdminaStar and U.S. ex rel. Moore and Scott v. AdminaStar) |
W.D. Ky. |
$6 million |
 |
| Tampering and altering Medicare files and claims info. |
9/20/05 |
N |
|
| U.S. ex rel. Brown v. AdvancePCS |
E.D. Pa. |
$137.5 mill. |
 |
| Kickbacks |
9/7/05 |
Y |
|
| U.S. v. GlaxoSmithKline |
S.D. Fla. |
$150 mill. |
 |
| Pricing and marketing fraud re. Zofran & Kytril |
9/2/05 |
Y |
|
| U.S. ex rel. Razin v. Eisenhower Med. Centr. |
C.D. Cal. |
$8 mill. |
 |
| Overbilling of federal Health ins. programs |
8/31/05 |
N |
|
| U.S. ex rel. Garner v. Anthem Insurance COs. |
S.D. Ohio |
$1.5 mill. |
 |
| Overcharged FEHB |
8/08/05 |
N |
|
| Tenet Healthcare Cases II (class action settlement) |
Cal. Super. Ct. |
Undetermined |
 |
| Overpricing of drugs and medical products and services |
8/5/05 |
N |
|
| U.S. ex rel. Reilly v. Catskill Reg. Med. Cntr.(Mt. Vernon Hosp.) |
S.D.N.Y. |
$2.65 mill. |
 |
| Illegal Patient referral |
7/28/05 |
Y |
|
| U.S. v. Central Montgomery Med. Cntr (CMMC) |
E.D. Pa. |
$200,000 |
 |
| Failure of care |
7/25/05 |
N |
|
| In re Managed Care Litigation - Wellpoint Inc. |
S.D. Fla. |
$198 mill. |
 |
| Violation of federal racketeering and state prompt-pay laws |
7/11/05 |
N |
|
| U.S. v. AmeriChoice of Pennsylvania Inc. |
E.D.Pa. |
$1.6 million |
 |
| Claims processing |
6/30/05 |
Y |
|
| U.S. ex rel. Falla v. Patel |
D. Mass. |
$400,000 |
 |
| Government health program fraud |
6/27/05 |
Y |
|
| U.S. ex rel. Buckman v. Rural Metro Corp. and Donlock, Ltd. |
M.D. Pa. |
$1.56 mill. |
 |
| False claims for ambulance servcs. |
6/21/05 |
N |
|
| U.S. v. Weill Medical College of Cornell U. |
S.D. N.Y. |
$4.4 million |
 |
| Misuse of funds awarded by NIH |
6/21/05 |
N |
|
| U.S. ex rel. Hudnall and State of Texas v. ResCare |
N.D. Tex. |
$2.1 million |
 |
| Medicaid fraud |
6/14/05 |
N |
|
| U.S. v. EMSCO Billing (ex rel. Trombetta & Freeman) |
N.D.Ill. |
$700,000 |
 |
| Medicare/Medicaid overbilling |
5/24/05 |
N |
|
| U.S. v. Abington Mem. Hospital (Pa.) |
E.D.Pa. |
$4.2 million |
 |
| False claims for clinical lab tests |
5/24/05 |
Y |
|
| U.S. ex rel. Long v. Mayo Foundation |
D.Minn |
$6.5 mill. |
 |
| False Grant Expensing |
5/23/05 |
N |
|
| New York v. Staten Island Univ. Hospital |
N.Y.Sup.Ct. |
$76.5 mill. |
 |
| Medicaid overbilling |
5/17/05 |
N |
|
| U.S. v. MedStar Health Visiting Nurse Assoc. |
|
$1.3 million |
 |
| Fraudulent cost reports |
5/9/05 |
Y |
|
| In re Managed Care Litigation - Prudential Financial Inc. |
S.D. Fla. |
$22.2 mill. |
 |
| Violation of federal racketeering and state prompt-pay laws |
5/3/05 |
N |
|
| U.S. v. Hospital of St. Raphael (Conn.) |
D.Conn. |
$632,000 |
 |
| Medicare fraud |
5/3/05 |
Y |
|
| In re Managed Care Litigation - Health Net Inc. |
S.D. Fla. |
$140 mill. |
 |
| Violation of federal racketeering and state prompt-pay laws |
5/3/05 |
N |
|
| U.S. v. St. Joseph Mercy Oakland (SJMO) |
|
$4 million |
 |
| Improper remunerations to physicians |
4/29/05 |
N |
|
| U.S. v. GlaxoSmithKline |
E.D.N.C. |
Bond only |
 |
| Pharmaceutical manuf. deficiencies in P.R. |
4/28/05 |
N |
|
| New York v. Omnicare Inc.(10 subsidiaries) |
|
$5.75 mill. |
 |
| Medicaid billing |
4/28/05 |
N |
|
| U.S. ex rel. Gober v. Univ. of Alabama |
N.D.Ala. |
$3.39 mill. |
 |
| Medicare billing |
4/14/05 |
C |
|
| U.S. ex rel. Harris v. Dr. Bernad and Neurology Services Inc. |
D.D.C. |
$122,500 |
 |
| Medicare billing |
4/13/05 |
N |
|
| U.S. v. Cares R Us Home Health Care |
E.D.Wisc. |
$250,000 |
 |
| Medicaid billing |
3/28/05 |
N |
|
| U.S. ex rel. Gorumba v. Cancer Treatment Centers of America |
W.D.Wash. |
$478,000 |
 |
| Medicare/Tricare billing |
3/18/05 |
Y |
|
| U.S. v. Novartis |
S.D. Ill. |
$49.2 mill. |
 |
| Marketing practices |
2/11/05 |
Y |
|
| U.S. ex rel. Satchell v. Assessment and Treatment Alternatives (ATA) |
E.D.Pa. |
$325,000 |
 |
| Medicaid fraud |
1/27/05 |
Y |
|
| U.S. ex rel. Reilly v. Catskill Reg. Med. Cntr. |
S.D.N.Y. |
$1.5 mill. |
 |
| Patient referral |
1/7/05 |
Y |
|