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. ex rel. Kammerer v. Omnicare Inc. |
D. Mass. |
$98 mill. |
 |
| Kickback schemes with drug companies and nursing homes |
11/03/2009 |
N |
|
| U.S. ex rel. Kammerer v. IVAX Pharmaceuticals |
D. Mass. |
$14 mill. |
 |
| Kickbacks from Omnicare |
11/03/2009 |
N |
|
| U.S. ex rel. Moilan v. McAllen Hospitals LP |
|
$27.5 mill. |
 |
| Paid illegals fees to doctors for referrals |
10/30/2009 |
N |
|
| So. Carolina v. Eli Lilly and Co. |
S.C. Cir. Ct. |
$45 mill. |
 |
| Fraudulent maketing of Zyprexa |
10/23/2009 |
N |
|
| U.S. v. Omni Home Care |
NA |
$2 mill. |
 |
| 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. |
 |
| Failed to pay appropriate drug rebates to state Medicaid programs |
10/19/2009 |
N |
|
| U.S. v. Bakst |
NA |
$64,000 |
 |
| 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. |
 |
| Payment of kickbacks to cardiologists |
09/29/2009 |
Y |
|
| United States ex rel. Bates v. (Under Seal) |
W.D. N.Y. |
$8 mill. |
 |
| Submitted false claims to Medicare |
09/29/2009 |
N |
|
| U.S. v. Dr. Rakesh Sahni |
D.N.J. |
$360,000 |
 |
| Accepted salary for referrals to University Hospital (NJ) |
09/17/2009 |
N |
|
| U.S. v. Dr. Ravindra Patel |
D.N.J. |
$300,000 |
 |
| Accepted salary for referrals to University Hospital (NJ) |
09/17/2009 |
N |
|
| U.S. v. Dr. Jasjit Walia |
D.N.J. |
$300,000 |
 |
| Accepted salary for referrals to University Hospital (NJ) |
09/17/2009 |
N |
|
| U.S. v. Pfizer Inc. |
D.Mass. |
$1.2 billion |
 |
| Illegally marketed Bextra |
09/02/2009 |
Y |
|
| U.S. v. Odell |
D.Nev. |
$167,096 |
 |
| 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 |
 |
| 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. |
 |
| 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 |
 |
| Poor quality of care |
09/19/2009 |
N |
|
| HHS OIG v. Walgreen Louisiana Co. |
NA |
$1 mill. |
 |
| 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. |
 |
| 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 |
 |
| Submitted false claims to Medicare |
08/12/2009 |
N |
|
| In re. Vytorin/Zetia Marketing |
D.N.J. |
$41.5 mill |
 |
| 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. |
 |
| 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. |
 |
| 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. |
 |
| False claims submitted to Medicaid |
07/21/2009 |
N |
|
| U.S. ex rel. Flanery v. DeCandido |
M.D. Fla. |
$1.7 mill. |
 |
| 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. |
 |
| 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. |
 |
| Unlawful marketing of medical devices |
07/14/2009 |
N |
|
| In re. Ind. License of Walgreen Co. and CVS Pharmacy |
NA |
$2.25 mill. |
 |
| Customer medical info. improperly discarded |
07/13/2009 |
N |
|
| U.S. v. Yale-New Haven Hospital |
D.Conn. |
$885,953 |
 |
| 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. |
 |
| 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. |
 |
| 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. |
 |
| Double billing of Medicaid for outpatient services |
06/09/2009 |
N |
|
| U.S. v. Seradge |
W.D. Okla. |
$3.5 mill. |
 |
| 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 |
 |
| Inflated costs of geriatric psychiatric unit |
06/03/2009 |
|
|
| U.S. v. Aventis Pharmaceutical |
D. Mass. |
$95.5 mill. |
 |
| 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. |
 |
| 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. |
 |
| Medicaid fraud - inflated expenditures |
05/05/2009 |
N |
|
| U.S. ex. rel. Kruszewski v. Southwood Psych. Hosp. |
E.D. Pa. |
$150,000 |
 |
| Failure-of-care |
04/22/2009 |
N |
|
| U.S. v. Lahey Clinic Hosp. (Burlington, Mass.) |
D. Mass. |
$843,897 |
 |
| 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. |
 |
| Violated false claims and anti-kickback laws |
04/16/2009 |
N |
|
| U.S. v. Quest Diagnostics (Nichols Inst. Diag.) |
E.D. NY |
$302 mill. |
 |
| Sold misbranded test kits |
04/15/2009 |
N |
|
| United States v. Methodist Hospital (Tex) |
S.D. Tex. |
$9.9 mill. |
 |
| Submitted false claims to Medicare |
03/26/2009 |
N |
|
| U.S. v. West Valley Imaging LP |
NA |
$ 2 mill. |
 |
| Submitted false claims to Medicare |
03/25/2009 |
N |
|
| United States v. San Mateo Cnty, Calif. |
N.D. Cal. |
$6.8 mill. |
 |
| Submitted false claims to Medicare & Medicaid |
03/10/2009 |
N |
|
| New York v. Capital District Physicians' Health Plan |
NA |
$300,000 |
 |
| Use of Ingenix database for out-of-network claims |
03/05/2009 |
N |
|
| New York v. Excellus Health Plan |
NA |
$1.55 mill. |
 |
| 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. |
 |
| Fraud re. federal research funds |
03/05/2009 |
N |
|
| United States v. Joseph Galicia MD and Galichia Med. Group |
D. Kan. |
$1.3 mill. |
 |
| False claims to medicare |
03/03/2009 |
N |
|
| New York v. Wellpoint Inc. |
NA |
$10 mill. |
 |
| Use of Ingenix database for out-of-network claims |
02/17/2009 |
N |
|
| New York v. CIGNA |
NA |
$10 mill. |
 |
| 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 |
 |
| Rescission of individual health insurance policies |
02/11/2009 |
N |
|
| United States v. NeuroMetrix |
D. Mass. |
$3.7 mill. |
 |
| Illegal kickbacks to physicians |
02/09/2009 |
Y |
|
| Pennsylvania v. Peoples Benefits Services Inc,. |
Pa. Commw. Ct. |
$230,000 |
 |
| Deception re. sale of discount prescription cards |
01/29/2009 |
N |
|
| United States v. Temple Health Services |
D. Conn. |
$284,000 |
 |
| False claims submitted to Medicare for unnecessary treatments |
01/26/2009 |
N |
|
| New York v. Aetna |
NA |
$10 mill. |
 |
| 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. |
 |
| False claims filed for hospice care |
01/15/2009 |
N |
|
| U.S. v. Eli Lilly and Co. |
E.D. Pa. |
$1.4 billion |
 |
| Promoted Zyprexa for off-label uses |
01/15/2009 |
Y |
|
| Illinois v. Open Advanced MRI of Chicago, LLC |
Ill. Cir. Ct. |
$1.2 mill. |
 |
| Illegal kickbacks to physicians for referrals |
01/14/2009 |
N |
|
| AMA v. United Health Care Corp. (class action) |
S.D.N.Y. |
$350 mill. |
 |
| System for reimbursing out-of-network claims |
01/14/2009 |
N |
|
| Niewisnki v. Resurrection Health Care Corp. |
Ill. Cir. Ct. |
TBD |
 |
| Billing charges |
01/12/2009 |
N |
|
| United States v. Rite Aid Corp. |
E.D. Cal. |
$5 million |
 |
| Mishandling of controlled substances |
01/09/2009 |
N |
|