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? | |
|
| New York v. Cardinal Health Inc. |
NA |
$11 mill. |
 |
| Drug-trading practices |
12/26/06 |
N |
|
| U.S. v. University of Miami |
S.D. Fla. |
$2.3 mill. |
 |
| Medicare billing |
12/21/06 |
N |
|
| U.S. v. Michel(Larkin Community Hospital) |
S.D. Fla. |
$15 million |
 |
| False claims & referral kickbacks |
11/30/06 |
Y |
|
| U.S. v. Omnicare (ex rel. Lisiitza & Kammerer) |
N.D. Ill. |
$49.5 mill. |
 |
| Prescription drug substitution |
11/14/06 |
Y |
|
| U.S. v. InterMune Inc. |
N.D. Cal. |
$36.94 mill. |
 |
| Illegal promotion of drug for off-label uses |
10/26/06 |
Y |
|
| U.S. ex rel. Pitelli v. Keystone Mercy Health Plan |
E.D. Pa. |
$5 mill. |
 |
| Failure to return overpayments to Medicaid |
10/26/06 |
N |
|
| U.S. v. Danbury Hospital |
D. Ct. |
$2.35 mill. |
 |
| Overbilling Medicare for patient hospital stays |
10/25/06 |
N |
|
| U.S. v. Medco Health Solutions |
E.D. Pa. |
$8 mill. |
 |
| False DME claims to Medicare |
10/23/06 |
Y |
|
| U.S. ex rel. Piacentile v. Merck & Co. |
E.D. Pa. |
$155 mill. |
 |
| False claims to govt. health plans |
10/23/06 |
N |
|
| U.S. ex rel. Burns v. Northside Hospital |
N.D. Ga. |
$6.9 mill. |
 |
| FCA and Stark law violations |
10/20/06 |
N |
|
| Sutter v. Horizon Blue Cross Blue Shield of NJ |
N.J. Sup. Ct. |
NA |
 |
| Deceptive practices |
10/16/06 |
N |
|
| U.S. ex rel. Ghrist v. Orthoscript, James A. Nelson & Angela Isley |
N.D. Ga. |
$25,000 |
 |
| Medicare fraud |
10/13/06 |
N |
|
| Hoorman v. SmithKline Beecham |
Ill. Cir. Ct. |
$63.8 mill. |
 |
| Class action settlement re. promotion of Paxil |
10/6/06 |
NA |
|
| Michigan v. Specialized Pharmacy Services (Omnicare Inc.) |
Mich. Cir. Ct. |
$52.5 mill. |
 |
| Medicaid fraud |
10/5/06 |
Y |
|
| U.S. ex rel. O'Brien(Hill) v. Morehouse Medical Assoc. |
N.D. Ga. |
$987,815 |
 |
| False Claims -code upgrading |
10/3/06 |
N |
|
| U.S. v. Rogan (court opinion and order) |
N.D. Ill. |
$64 million |
 |
| Defrauding Medicare & Medicaid |
9/29/06 |
NA |
|
| U.S. ex rel. Lee v. Horizon West Inc. |
N.D. Cal. |
$14.7 mill. |
 |
| Medicare Fraud Inflated Hours-SNF |
9/26/06 |
Y |
|
| U.S. ex rel. Hall v. Pediatrix Med. Group |
D. Md. |
$25 mill. |
 |
| Improper billing of health programs |
9/21/06 |
N |
|
| U.S. v. Schering-Plough Corp. |
D. Mass. |
$435 mill. |
 |
| Illegal sales and marketing of drugs |
8/29/06 |
Y |
|
| U.S. ex rel. Kiern (Cole) v. Inove VNA Home Care |
E.D. Va. |
$9.6 mill. |
 |
| False claims to Medicare & Medicaid |
8/28/06 |
Y |
|
| U.S. v. State of North Carolina |
E.D. N.C. |
$151.5 mill. |
 |
| Improper disbursement of Medicaid funds |
8/18/06 |
N |
|
| U.S. v. Beverly Enterprises, Inc. |
N.D.Calif. |
$20 million |
 |
| Fraudulent Medicare and Medicaid claims |
8/18/06 |
N |
|
| U.S. v. Mount Sinai Med. Cntr. of Florida |
S.D. Fla. |
$3.5 million |
 |
| Failure to report rebates and credits |
8/11/06 |
Y |
|
| U.S. v. GlaxoSmithKline |
D. Mass. |
$70 mill. |
 |
| Artificially inflated prices |
8/10/06 |
N |
|
| California v. Kaiser Foundation Health Plan, Inc. |
|
$5 mill. |
 |
| Violations of state law |
8/9/06 |
N |
|
| U.S. ex rel. Bramble v. Advanced Physical Therapy (APT) procedures |
S.D. Ind. |
$188,115.23 |
 |
| Improper claims to Medicare for therapeutic |
7/25/06 |
Y |
|
| U.S. ex rel. Orbeck v. Marion Regional Healthcare Sys. |
D.S.C. |
$3.75 mill. |
 |
| Prohibited financial transactions with Doctors |
7/18/06 |
Y |
|
| U.S. v. Medtronic Inc. |
W.D. Tenn. |
$40 million |
 |
| Kickbacks to Doctors |
7/18/06 |
Y |
|
| U.S. ex rel. Russell v. Odyssey Health Care |
E.D. Wisc. |
$13 mill. |
 |
| Medicare false claims |
7/12/06 |
Y |
|
| U.S. v. Tenet Healthcare Corp. |
C.D. Cal. |
$900 mill. |
 |
| Medicare billing practices |
6/28/06 |
Y |
|
| U.S. ex rel. Drescher v. Highmark |
E.D. Pa. |
$2 mill. |
 |
| Underpayment of amounts owed for Medicare secondary payers |
6/19/06 |
N |
|
| U.S. v. St. Barnabas Corp. (NJ) |
E.D. Pa. |
$265 mill. |
 |
| Inflation of Medicare billing |
6/14/06 |
Y |
|
| Texas ex rel. Ven-a-Care of the Florida Keys |
Tex. Dist. Ct. |
$8.5 mill. |
 |
| False reporting of drug prices to Medicaid |
6/12/06 |
N |
|
| U.S. ex rel. Quinelly v. Piedmont Hospital |
N.D. Ga. |
$3 mill. |
 |
| Submitting false claims |
6/9/06 |
Y |
|
| U.S. ex rel. Smith v. Lincare Holdings Inc. and Lincare Inc. |
D. Mass. |
$526,000 |
 |
| Overbilling Medicare |
6/8/06 |
N |
|
| U.S. v. Mobility Products Unlimited (MPU) - Fla. |
M.D. Fla. |
$2.77 million |
 |
| Medicare Part B fraud |
5/26/06 |
Y |
|
| U.S. v. Chiotellis |
D. Mass. |
$1.9 million |
 |
| Medicare billing fraud |
5/17/06 |
Y |
|
| U.S. v. Lincare Inc.(ex rel. Martin) |
|
$10 mill. |
 |
| Violation of ant-Kickback and Stark laws |
5/15/06 |
Y |
|
| U.S. v. Group II Medical Supports LLC |
S.D.W. VA. |
$1.6 mill. |
 |
| False Medicare and Medicaid billing |
5/12/06 |
N |
|
| U.S. v. Stuart Aiken |
D. MD. |
$326,570 |
 |
| Medicare billing |
5/5/06 |
N |
|
| U.S. v. UHS of Delaware |
E.D. Pa. |
$1.5 mill. |
 |
| Violation of ant-Kickback and Stark laws |
4/10/06 |
N |
|
| U.S. v. Beebe Medical Center and DRs. Caruso and Parasher |
D. Del. |
$1 million |
 |
| Illegal financial relationship between hospital and doctors |
3/16/06 |
Y |
|
| U.S. ex rel. Clarke v. Diabetes Self Care |
W.D. Va. |
$9 mill. |
 |
| Unapproved DME claims to Medicare |
3/6/06 |
N |
|
| U.S. v. Debbi |
S.D.N.Y. |
$335,000 |
 |
| False Medicare claims for services in nursing homes |
3/1/06 |
N |
|
| Florida v. Tenet Healthcare Corp. |
S.D. Fla. |
$7 mill. |
 |
| Inflated reimbursement claims |
2/21/06 |
N |
|
| Florida v. Crouse |
Fla.Cir. Ct. |
$3 mill. |
 |
| Sales of unauthorized health plan |
2/14/06 |
N |
|
| Connecticut v. Essex Village & Meadowbrook Rest Home |
|
$1.2 mill. |
 |
| False claims |
2/13/06 |
N |
|
| U.S. ex rel. King v. Intrepid U.S.A. |
D. Minn. |
$8 mill. |
 |
| Medicare billing |
2/9/06 |
Y |
|