BNA Document & Research Services
Health Care Fraud Settlements for 2009.

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.

PartiesCourtAmount
Fraud/TopicDateCIA? 

U.S. ex rel. Kammerer v. Omnicare Inc. D. Mass. $98 mill. Add to Cart
Kickback schemes with drug companies and nursing homes 11/03/2009 N

U.S. ex rel. Kammerer v. IVAX Pharmaceuticals D. Mass. $14 mill. Add to Cart
Kickbacks from Omnicare 11/03/2009 N

U.S. ex rel. Moilan v. McAllen Hospitals LP $27.5 mill. Add to Cart
Paid illegals fees to doctors for referrals 10/30/2009 N

So. Carolina v. Eli Lilly and Co. S.C. Cir. Ct. $45 mill. Add to Cart
Fraudulent maketing of Zyprexa 10/23/2009 N

U.S. v. Omni Home Care NA $2 mill. Add to Cart
Submitted claims to Medicare without physician approval 10/20/2009 N

U.S. ex rel. Ven-A-Care v. Mylan Pharmaceuticals, D.N.H., No. 06-cv-231 D.N.H. $124 mill. Add to Cart
Failed to pay appropriate drug rebates to state Medicaid programs 10/19/2009 N

U.S. v. Bakst NA $64,000 Add to Cart
Violated CMP and Stark laws 10/05/2009 N

U.S. v. University of Medicine and Dentistry of New Jersey D.N.J. $8.3 mill. Add to Cart
Payment of kickbacks to cardiologists 09/29/2009 Y

United States ex rel. Bates v. (Under Seal) W.D. N.Y. $8 mill. Add to Cart
Submitted false claims to Medicare 09/29/2009 N

U.S. v. Dr. Rakesh Sahni D.N.J. $360,000 Add to Cart
Accepted salary for referrals to University Hospital (NJ) 09/17/2009 N

U.S. v. Dr. Ravindra Patel D.N.J. $300,000 Add to Cart
Accepted salary for referrals to University Hospital (NJ) 09/17/2009 N

U.S. v. Dr. Jasjit Walia D.N.J. $300,000 Add to Cart
Accepted salary for referrals to University Hospital (NJ) 09/17/2009 N

U.S. v. Pfizer Inc. D.Mass. $1.2 billion Add to Cart
Illegally marketed Bextra 09/02/2009 Y

U.S. v. Odell D.Nev. $167,096 Add to Cart
Submitted false claims to Medicare 09/02/2009 N

U.S. ex rel. Baker v. Rehabilitation Specialists of Lvingston County and Bradley Putvin E.D. Mich. $100,000 Add to Cart
Submitted false claims to Medicare 08/27/2009 N

U.S. v. Covenant Med. Center & Wheaton Franciscan Healthcare (IA) N.D. Iowa $4.5 mill. Add to Cart
Submitted false claims to Medicare & Stark law violations 08/25/2009 N

U.S. v. Willowcrest Nursing Home & Willow Terrace (PA) E.D. Pa. $425,072 Add to Cart
Poor quality of care 09/19/2009 N

HHS OIG v. Walgreen Louisiana Co. NA $1 mill. Add to Cart
Violated CMP law 08/17/2009 N

Texas ex rel. Ven-A-Care of the Florida Keys v. Alpha Therapeutic Corp. Tex. Dist. Ct. $1.2 mill. Add to Cart
Improper reporting of drug prices to Medicaid 08/13/2009 N

U.S. ex rel. Walker v. Leesburg Family Medicine M.D. Fla. $34,188 Add to Cart
Submitted false claims to Medicare 08/12/2009 N

In re. Vytorin/Zetia Marketing D.N.J. $41.5 mill Add to Cart
Merck & Schering-Plough failed to disclose unfavorable trial test results 08/05/2009 N

Illinois v. Abbott Laboratories Inc., Ill. Cir. Ct. $6.8 mill. Add to Cart
Inflated wholesale drug prices 07/27/2009 N

U.S. ex rel. Reimeche v. Tulare Local Health Care District C.D. Cal. $2.4 mill. Add to Cart
Kickbacks to physicians for referrals 07/27/2009 N

U.S. ex rel. Cirrincione v. New York State and City N.D.N.Y. $540 mill. Add to Cart
False claims submitted to Medicaid 07/21/2009 N

U.S. ex rel. Flanery v. DeCandido M.D. Fla. $1.7 mill. Add to Cart
Medicare billing fraud 07/15/2009 N

In re Schering-Plough Corp.; Merck & Co.; and MSP Singapore Co., LLC Tex. Dist. Ct. $5.4 mill. Add to Cart
Delayed release of negative clinical trial results 07/15/2009 N

U.S. ex rel. Doe v. Endoscopic Technologies Inc. S.D. Tex. $1.4 mill. Add to Cart
Unlawful marketing of medical devices 07/14/2009 N

In re. Ind. License of Walgreen Co. and CVS Pharmacy NA $2.25 mill. Add to Cart
Customer medical info. improperly discarded 07/13/2009 N

U.S. v. Yale-New Haven Hospital D.Conn. $885,953 Add to Cart
Billed Medicare for unnecessary radiation treatments 07/01/2009 N

U.S. ex rel. Mayer v. Johns Hopkins Bayview Medical Center D.Md. $2.75 mill. Add to Cart
Submitted false claims to federal health programs 06/30/2009 N

U.S. ex rel. Mayes v. Kindred Healthcare Inc. E.D. Tenn. $1.3 mill. Add to Cart
Overbilled Medicaid for drugs 06/10/2009 N

U.S. ex rel. Simring v. Univ. of Medicine and Dentistry (NJ) D.N.J. $2 mill. Add to Cart
Double billing of Medicaid for outpatient services 06/09/2009 N

U.S. v. Seradge W.D. Okla. $3.5 mill. Add to Cart
Submitted false claims to federal health programs 06/08/2009 N

U.S. v. HCA; Indian Path Hosp.; and Horizon Mental Health Mgmt. D.D.C. $750,000 Add to Cart
Inflated costs of geriatric psychiatric unit 06/03/2009

U.S. v. Aventis Pharmaceutical D. Mass. $95.5 mill. Add to Cart
Misreported drug prices for nasal sprays 05/28/2009 N

U.S. ex rel. Bates v. (Under Seal) (3 hospitals in Minneapolis) W.D.N.Y. $2.28 mill. Add to Cart
Submitted falso claims for spinal fractures 05/21/2009 N

U.S. v. WellCare Health Plans Inc., M.D. Fla., No. 8:09-cr-203-T-27EAJ M.D. Fla. $80 mill. Add to Cart
Medicaid fraud - inflated expenditures 05/05/2009 N

U.S. ex. rel. Kruszewski v. Southwood Psych. Hosp. E.D. Pa. $150,000 Add to Cart
Failure-of-care 04/22/2009 N

U.S. v. Lahey Clinic Hosp. (Burlington, Mass.) D. Mass. $843,897 Add to Cart
Submitted multiple billings to Medicare 04/21/2009 N

U.S. ex rel. Pogue v. American Healthways, Inc. f/k/a/ Diabetes Treatment Centers of America M.D. Tenn. $40 mill. Add to Cart
Violated false claims and anti-kickback laws 04/16/2009 N

U.S. v. Quest Diagnostics (Nichols Inst. Diag.) E.D. NY $302 mill. Add to Cart
Sold misbranded test kits 04/15/2009 N

United States v. Methodist Hospital (Tex) S.D. Tex. $9.9 mill. Add to Cart
Submitted false claims to Medicare 03/26/2009 N

U.S. v. West Valley Imaging LP NA $ 2 mill. Add to Cart
Submitted false claims to Medicare 03/25/2009 N

United States v. San Mateo Cnty, Calif. N.D. Cal. $6.8 mill. Add to Cart
Submitted false claims to Medicare & Medicaid 03/10/2009 N

New York v. Capital District Physicians' Health Plan NA $300,000 Add to Cart
Use of Ingenix database for out-of-network claims 03/05/2009 N

New York v. Excellus Health Plan NA $1.55 mill. Add to Cart
Use of Ingenix database for out-of-network claims 03/05/2009 N

U.S. ex rel. Resnick v. Weill Med. College of Cornell University S.D.N.Y. $2.6 mill. Add to Cart
Fraud re. federal research funds 03/05/2009 N

United States v. Joseph Galicia MD and Galichia Med. Group D. Kan. $1.3 mill. Add to Cart
False claims to medicare 03/03/2009 N

New York v. Wellpoint Inc. NA $10 mill. Add to Cart
Use of Ingenix database for out-of-network claims 02/17/2009 N

New York v. CIGNA NA $10 mill. Add to Cart
Use of Ingenix database for out-of-network claims 02/17/2009 N

California v. Anthem Blue Cross Life and Health Ins. Co. NA $1 million Add to Cart
Rescission of individual health insurance policies 02/11/2009 N

United States v. NeuroMetrix D. Mass. $3.7 mill. Add to Cart
Illegal kickbacks to physicians 02/09/2009 Y

Pennsylvania v. Peoples Benefits Services Inc,. Pa. Commw. Ct. $230,000 Add to Cart
Deception re. sale of discount prescription cards 01/29/2009 N

United States v. Temple Health Services D. Conn. $284,000 Add to Cart
False claims submitted to Medicare for unnecessary treatments 01/26/2009 N

New York v. Aetna NA $10 mill. Add to Cart
Use of Ingenix database for out-of-network claims 01/15/2009 N

United States ex rel. Rice and Romeo v. SouthernCare N.D. Ala. $24.7 mill. Add to Cart
False claims filed for hospice care 01/15/2009 N

U.S. v. Eli Lilly and Co. E.D. Pa. $1.4 billion Add to Cart
Promoted Zyprexa for off-label uses 01/15/2009 Y

Illinois v. Open Advanced MRI of Chicago, LLC Ill. Cir. Ct. $1.2 mill. Add to Cart
Illegal kickbacks to physicians for referrals 01/14/2009 N

AMA v. United Health Care Corp. (class action) S.D.N.Y. $350 mill. Add to Cart
System for reimbursing out-of-network claims 01/14/2009 N

Niewisnki v. Resurrection Health Care Corp. Ill. Cir. Ct. TBD Add to Cart
Billing charges 01/12/2009 N

United States v. Rite Aid Corp. E.D. Cal. $5 million Add to Cart
Mishandling of controlled substances 01/09/2009 N


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