Health Care

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Client Alert – Radiation Therapy Clinic Settles Kickback Allegations for $11.5 Million

In a settlement announced late last week by the U.S. Attorney for the Northern District of Texas, radiation therapy center operator SightLine Health LLC (SightLine), Integrated Oncology Network Holdings LLC (ION), which acquired SightLine in 2011, and a number of leasing and holding companies agreed to pay up to $11.5 million to resolve allegations that [...]

Client Alert – FDA Issues Draft Guidance on Bulk Compound Drug Substances

In January of this year, and in response to concerns over the risks associated with the use of non-FDA approved, compounded drugs (particularly in the wake of the 2012 fungal meningitis outbreak that began with contaminated compounded injectable drugs), the U.S. Department of Health and Human Services Food and Drug Administration (FDA) issued a compounding [...]

Humana Settles Allegations of Pay Discrimination for $2.5 Million

Kentucky-based health insurer Humana has agreed to pay $2.5 million to 753 women employees following allegations of pay discrimination by the U.S. Department of Labor. Following a routine compliance check, the U.S. Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) determined that Humana had discriminated against 753 women at the company’s headquarters in [...]

Client Alert – Department of Justice Launches the “PIL” Opioid Task Force

Earlier this week, U.S. Attorney General Jeff Sessions announced the creation of a new task force designed to fight the prescription opioid crisis. The task force is called the Department of Justice Prescription Interdiction & Litigation (PIL) Task Force and will focus particularly on opioid manufacturers and distributors. The task force represents yet another step [...]

Client Alert – New York Man Admits to $45 Million Health Care Fraud

Steven M. Butcher pleaded guilty last week in a New Jersey federal court to conspiracy to commit health care fraud and violate the Anti-Kickback Statute. Butcher, a former pharmaceutical sales rep, formed MedMax, LLC, a marketing company for compounded medications, and used the company as a vehicle to perpetrate a fraudulent scheme to bilk private [...]

Client Alert – Judge Rules that $1 Billion False Claims Act Suit against UnitedHealth can Proceed

Earlier this week, a federal court judge in California shot down UnitedHealth Group Inc.’s (UnitedHealth) attempt to dismiss a whistleblower’s suit claiming that UnitedHealth had wrongly retained more than $1 billion from the Medicare program after submitting invalid diagnostic data for patients enrolled in Medicare Advantage Plans from 2011 through 2014. The Department of Justice [...]

FisherBroyles Welcomes New Partner Radha V. Bachman

FisherBroyles, LLP is pleased to announce that Radha V. Bachman has joined the firm as a partner in the Florida office. Bachman represents health care clients across the spectrum in corporate, transactional and regulatory matters. Her clients include hospitals and health systems, physicians, ambulatory surgery centers and senior living facilities. Bachman serves on the Florida [...]

Client Alert – Nationwide Dialysis Provider Settles Patient Privacy Breach Allegations for $3.5 Million

Late last week, Fresenius Medical Care (FMC), a dialysis provider with nationwide coverage that also operates a number of urgent care centers and labs, settled with the Department of Health and Human Services Office of Civil Rights (OCR) over a number of alleged patient privacy breaches that occurred in 2012. In addition to a payment [...]

Client Alert – Massachusetts’ New U.S. Attorney Vows to Continue Pressure on Drug Makers and Patient Assistance Programs

Readers may recall our alert from November 2017, “Patient Assistance Charity Loses Protection from Kickback Liability - Office of Inspector General Revokes Advisory Opinion” in which we relayed the story of Caring Voice Coalition (CVC), a patient assistance program formed to help patients afford expensive prescription drugs by funding health insurance copayments. CVC, like many [...]

Client Alert – Aetna Settles for $17 Million following Accidental Disclosure of Customers’ HIV Status

Health insurance giant Aetna is learning an expensive lesson following its mishandling of private health information in the summer of 2017. Aetna has agreed to pay over $17 million to resolve privacy breach claims with approximately 12,000 of its customers after it accidentally revealed their HIV status through the windows of envelopes.  In an ironic [...]