kickbacks News

9th Circuit Questions Ruling that Filed Rate Doctrine Bars Kickback Claims

Nearly a decade after regulators first heard allegations that carriers were paying kickbacks to mortgage servicers who purchased lender-placed insurance policies, a federal appellate court is asking the Washington Supreme Court to help resolve one of the last remaining lawsuits …

Mass. AG Accuses Claimant’s Law Firm of Taking Kickbacks From Pharmacy

Massachusetts Attorney General Maura Healey has filed a lawsuit against a Massachusetts law firm, alleging it accepted tens of thousands of dollars in illegal kickbacks from a pharmacy in exchange for referring hundreds of its personal injury clients to the …

West Virginia Hospital Settles Whistleblower Suit For $50M

CHARLESTON, W.Va. — A financially strapped West Virginia hospital has agreed to pay the federal government $50 million to resolve claims that it improperly issued payments and kickbacks to physicians under the direction of management, the U.S. Justice Department announced …

7th Circuit Lays Obstacle For Litigation Funders With False Claims Act Suits

A federal appellate court dealt a blow against litigation funding companies by ruling that the U.S. Justice Department can dismiss any False Claims Act lawsuits that it deems meritless without first proving that dismissal is justified. The 7th Circuit Court …

U.S. Sues Teva Over Alleged Kickbacks For Multiple Sclerosis Drug

The U.S. government sued Teva Pharmaceutical Industries Ltd on Tuesday, accusing the drugmaker of causing the submission of false claims to Medicare by using kickbacks to boost sales of its multiple sclerosis drug Copaxone. In a complaint filed in Boston …

Novartis Settles U.S. Fraud Lawsuit Over Sham Speaker Programs

NEW YORK — Novartis AG agreed to pay $678 million to settle a civil fraud lawsuit brought by the U.S. government accusing the Swiss drugmaker of paying millions of dollars in kickbacks to doctors to induce them to prescribe its …

Court: Insurer Cannot Refuse Payment for Pain Cream Without Utilization Review

An insurer cannot ignore a $4,869.99 bill for a tube of compounded pain cream on the grounds that the medication is unnecessary without first filing a utilization review petition, a Pennsylvania appellate court ruled. The decision Thursday by the Commonwealth …

Opioid Manufacturer Insys Files for Bankruptcy after Kickback Probe

Drugmaker Insys Therapeutics Inc filed for bankruptcy protection on Monday amid mounting expenses driven by a U.S. Justice Department probe into claims it paid doctors bribes to prescribe a powerful opioid medication. The Chapter 11 bankruptcy filing marked a first …

Los Angeles DA Charges 15 Chiropractors in Alleged Fraud Scheme

The Los Angeles County District Attorney’s Office has filed charges against 15 chiropractors in a $6 million insurance fraud and illegal kickback scheme involving automobile collision medical claims. The felony complaint in case BA477147 lists a total of 18 felony …

Drug Middlemen Face State Probes Over Complex Pricing System

Several states are probing pharmacy-benefit managers’ business practices in government-sponsored health programs, adding to the scrutiny the middlemen face in Washington for their role in the cost of drugs. At least three state attorneys general are investigating PBMs, in addition …