Sanford Heisler Sharp’s False Claims Act Action Against Medicare Advantage Organization Moves Forward — Court Denies Defendants’ Motions to Dismiss
On Thursday,
The Relator's Complaint alleges that in 2013, Roche paid Humana a kickback in exchange for Humana placing Roche's diabetes testing products on its Medicare Advantage formularies. Access to these formularies is very valuable for Roche as it allows the Company to sell its products to patients with Government-funded healthcare. The Relator further alleged that Roche terminated her after she complained about the fraudulent conduct.
"We are very pleased with the Court's decision to allow this case to go forward," said
The False Claims Act is one of the federal government's most important anti-fraud tools. Under the Act, whistleblowers (called relators), may bring a lawsuit on behalf of the government to recover money that the government has wrongfully paid to private parties. The Act imposes treble damages (three times the amount of the fraud), civil penalties, and attorneys' fees on defendants. In addition, the Act grants relators a share of the government's recovery—a reward for information leading to the government's repayment.
"The Court affirms the important principle that financial arrangements between Managed Care Organizations and pharmaceutical companies are not immune from the False Claims Act and Anti-Kickback Statute," said
About
The Firm specializes in civil rights and general public interest cases, representing plaintiffs with employment discrimination, labor and wage violations, predatory lending, whistleblower, consumer fraud, and other claims. Along with a focus on class actions, the firm also represents individuals and has achieved particular success in the representation of executives and attorneys in employment disputes. For more information go to http://www.sanfordheisler.com/ or call 202 499-5200 or email [email protected]. For the latest news visit our newsroom or follow us on Twitter at @sanfordheisler.
SOURCE
New York shoots down NRA insurance program
Advisor News
Annuity News
Health/Employee Benefits News
Life Insurance News