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Healthcare Fraud

This archive displays posts tagged as relevant to healthcare fraud.

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High Court to Hear Argument on Whether Injured Patients Can Hold Generic Drug Makers Accountable for Their Defective Drugs

Posted  03/13/13
By Jason Enzler Next Tuesday the Supreme Court is scheduled to hear oral argument on Mutual Pharmaceutical’s appeal of a $21 million jury award for serious injuries caused by one of its generic drugs.  Much more is at stake than the money, however, with many expecting the Justices to set out a broad rule on whether any patient can sue a generic drug maker for defects in the design of its drug. The underlying...

Tagged in: Defective Products, Healthcare Fraud, Pharma Fraud,

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Buying Blind – New Study Shows Continued Lack of Transparency in Healthcare Pricing

Posted  02/28/13
By Gordon Schnell It has been talked about for years as a way to rein in the runaway costs of healthcare in this country -- making price matter to the consumer.  That is how it is with every other kind of purchase.  Whether it is a car, a house, a college education, a new pair of sneakers, or even a quart of milk, virtually everyone weighs heavily into their purchase decision what it is ultimately going to...

Tagged in: Bundling and Unbundling, Healthcare Fraud,

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A Hot Year for Health Care Fraud Recoveries

Posted  02/25/13
By Marlene Koury The coordinated efforts of the Departments of Justice (DOJ) and Health and Human Services (HHS) have resulted in a record breaking $4.2 billion in health care fraud recoveries in fiscal year 2012.  The agencies are required to collaborate under the Health Care Fraud and Abuse Program, which is a joint DOJ/HHS effort to coordinate federal, state and local law enforcement activities to crack down on...

Tagged in: Healthcare Fraud,

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Blaming the Whistleblower – Court Rejects Novel Defense to False Claims Act Charges

Posted  02/21/13
By Gordon Schnell It would seem on its face to be a rather brazen approach to defending a False Claims Act lawsuit.  A healthcare company is charged with defrauding Medicare by billing it for medications the company never provided its patients.  The company not only denies the wrongdoing.  It goes one step further by arguing that, if there were any such misconduct, it was the whistleblower's fault by not...

Tagged in: Court Decision, Healthcare Fraud,

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Big Pharma Does Good -- Providing Access to the Poor

Posted  12/6/12
By Gordon Schnell There has been a lot of negative press on the fraudulent misadventures of Big Pharma.  Particularly lately.  Whether it be for falsifying studies, selling bad or ineffective drugs, concealing risky side effects, or ignoring FDA restrictions, it seems like every major drugmaker has been sued recently for putting profits before public health and safety.  You name the industry player, chances are...

Tagged in: Healthcare Fraud,

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Blackstone Medical Caught “Entertaining” Physicians in Exchange for Business

Posted  11/13/12
By Marlene Koury Orthofix International NV has agreed to pay $30 million to settle allegations that its subsidiary, Blackstone Medical Inc., ran a seven year long kickback scheme ranging from sham consulting agreements to providing physicians with adult “entertainment” to induce them into ordering their products.  Click here to see Department of Justice press release and here for the complaint. Blackstone...

Tagged in: Healthcare Fraud, Other Government Health Programs,

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Fudging the Studies -- Senate Report Links Medtronic to Latest Case of Ghostwriting Medical Journal Articles

Posted  11/9/12
By Gordon Schnell  In a scathing report it recently released, the Senate Finance Committee charged medical device manufacturer Medtronic, Inc. with engaging in some fairly dastardly deeds to promote its once top-selling bone growth product called InFuse.  The alleged misconduct centers around the company paying off doctors to author medical journal pieces that downplayed or downright ignored serious risks and...

Tagged in: Healthcare Fraud, Medical Devices and DME,

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Fixing a Broken System -- The Institute of Medicine's Groundbreaking Report on Runaway Waste in American Healthcare

Posted  10/25/12
By Gordon Schnell There is a lot of chatter these days about trillion dollar deficits and multi-point plans to get the economy back in shape.  President Obama and Governor Romney stick to their respective talking points about their opponent's critical failings and how they will do things better.  The divisions that separate these candidates and their followers, and the country as a whole, have not been this...

Tagged in: Healthcare Fraud,

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Deducting the Cost of Fraud -- The Widespread Treatment of Government Settlements as a Mere Business Expense

Posted  10/17/12
By Gordon Schnell With its $9 billion take, it has been a record year for the government in terms of its recoveries under the False Claims Act.  See Banner Year for Whistleblowers . . . .  There was the $3 billion settlement with GlaxoSmithKline over its marketing misdeeds with Paxil and Wellbutrin and its failure to report safety data for Avandia.  See Big Pharma Strikes Again . . . .   There was the $1.5...

Tagged in: Healthcare Fraud,

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The Fraud Behind the Fraud of Off-Label Drug Marketing

Posted  10/5/12
By Gordon Schnell It has been one of the most common means for drug companies to get around what can be the very rigorous and time-consuming process of securing FDA approval for selling drugs.  That is, taking drugs that the FDA has approved as safe and effective for one particular use and marketing them to the medical community and the public for an entirely different set of uses.  This so-called off-label...

Tagged in: Healthcare Fraud, Off-Label and Unapproved Use, Pharma Fraud,

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