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U.S. State Department Contractor to Resolve Allegations of Improper Vetting with $5 Million Settlement

On September 14, 2017, Pacific Architects & Engineers Incorporated (PAE) settled a whistleblower lawsuit alleging the company did not follow proper vetting procedures for its personnel that performed and billed work to the U.S. State Department. The $5 million settlement resolves allegations without any determination of liability of contract violations. PAE is a company originally […]

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Pharmaceutical Companies Agree to Pay $465 Million Settlement in EpiPen False Claims Act Lawsuit

On Thursday, August 17, 2017, the Department of Justice, announced that Mylan Inc. and Mylan Specialty L.P. (collectively, “Mylan”) have settled allegations that they violated the False Claims Act when they misclassified EpiPen as a generic drug as part of a scheme to avoid paying rebates owed to the federal government. Mylan has agreed to […]

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Sightpath Medical Pays $12 Million to Settle Allegations of False Claims Act Violations and Medicare Fraud

On August 21, 2017, Acting United States Attorney Gregory G. Brooker of the United States Attorney’s Office for the District of Minnesota announced that the U.S. government reached a settlement of $12 million with Sightpath Medical over its alleged use of kickbacks to promote its products, in violation of federal law. Whistleblower Kipp Fesenmaier, former […]

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Navicent Pays $2.5 Million to Settle Allegations of False Claims Act Violations and Medicare and Medicaid Fraud

On August 3, 2017, the United States Attorney for the Middle District of Georgia and the Georgia Attorney General announced Navicent Health’s $2.5 million settlement to resolve allegations of violating the False Claims Act and billing Medicare and Medicaid for ambulance trips that were overpriced or not medically necessary. Navicent Health, Inc. owns and operates […]

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Pharmaceutical Manufacturer Agrees to Pay $280 Million to Settle Healthcare Whistleblower Lawsuit

Celgene Corp., a New Jersey pharmaceutical manufacturer, has agreed to pay $280 million to settle a False Claims Act lawsuit related to allegations that it promoted cancer drugs for uses that had not been approved by the Food and Drug Administration (“FDA”). Under the terms of the agreement, which does not include any admission of […]

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Genesis HealthCare To Pay $54 Million To Settle Qui Tam Lawsuits that Allege that the Company’s Subsidiaries Previously Overbilled the Government for Hospice-Related Services

Nursing home operator Genesis HealthCare (“Genesis”) has agreed to resolve allegations that the company’s subsidiaries previously submitted false claims to the government for payment for unnecessary hospice services that were provided to Medicaid and Medicare beneficiaries. The recent settlement is the result of allegations that stemmed from five separate qui tam, or whistleblower, lawsuits that […]

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$32.5 Million Settlement for Whistleblower Lawsuit Alleging Medicare Advantage Fraud

In a long-running qui tam case brought under the federal False Claims Act, the government has announced a settlement of allegations originally made by late whistleblower, Dr. Darren D. Sewell, M.D., of Medicare fraud against several health care insurers and providers, who will pay $32.5 million under the settlement. Dr. Sewell alleged that Freedom Health […]

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Iraq War Contractor Pays $95 Million to Settle Allegations by False Claims Act Whistleblower

Agility Public Warehousing Co. KSC, a Kuwaiti defense contractor, has agreed to pay $95 million to settle a False Claims Act lawsuit related to allegations that it overcharged the U.S. government on billions of dollars in Iraq War food supply contracts. The settlement, if it is approved by the court, will mark the end of […]

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Whistleblower Set to Receive More than $10.5 Million of $54 Million Settlement for Exposing Former Employer CareCore National, LLC’s Prior Authorization Insurance Claims Scheme

Medical management company CareCore National, LLC recently entered into a settlement agreement to resolve allegations that the company engaged in a scheme that resulted in hundreds of thousands of false insurance claims being submitted to the government for payment. In particular, the lawsuit alleges that CareCore designed and implemented a program that resulted in the […]

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Blood Testing Lab Quest Diagnostics to Pay $6 Million to Settle Healthcare Whistleblower’s Allegations of Kickbacks and Unnecessary Testing

On May 1, 2017, Quest Diagnostics agreed to pay the U.S. government $6 million to settle a healthcare whistleblower lawsuit brought by whistleblower Dr. Michael Mayes against Berkeley HeartLab. The qui tam suit was brought in federal district court in South Carolina in 2011 and alleged that Berkeley HeartLab, Inc., a blood testing laboratory acquired […]

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