Using a Qui Tam Model to Catch Financial Fraud
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Rolling Stone's Matt Taibbi and Author William Mckeen to Participate In
FOR IMMEDIATE RELEASE Press Inquiries: Lauren Hendricks 502.744.7679 | [email protected] Rolling Stone’s Matt Taibbi and Author William McKeen To Participate In GonzoFest Louisville this July Events at Speed Art Museum and Frazier History Museum to Kick Off GonzoFest Louisville Celebrations LOUISVILLE, KY (May 13, 2019) – GonzoFest Louisville has big plans for its ninth annual celebration of Louisvillian Hunter S. Thompson, the founder of gonzo journalism. Matt Taibbi, contributing writer for Rolling Stone and author of four New York Times bestsellers, and William McKeen, author of Outlaw Journalist, a biography of Hunter S. Thompson, and chair of Boston University’s Department of Journalism, are just two of the special guests speaking at this year’s GonzoFest Louisville. Taibbi and McKeen will present their own lectures and conversations, and participate in a panel discussion moderated by Timothy Denevi, professor of journalism at George Mason University and author of Freak Kingdom: Hunter S. Thompson's Manic Ten-Year Crusade Against American Fascism. More guest speakers will be added and announced at a later date. During this year’s lectures, conversations and panels, local, regional and national names in journalism will trace the rapid evolution of gonzo journalism from the New Journalism of the 1960s through the Nixon era in which Hunter made his most indelible mark and to the journalists of today and their relationship to the current political climate and media environment. In addition to lectures and panels, GonzoFest Louisville will showcase spoken word artists and poets, as well as live art by local artist Braylyn Stewart and local gonzo artist Grant Goodwine, who studied with Ralph Steadman. -
United States of America Ex Rel. Dr. Peter Rost V. Pfizer
UNITED STATES DISTRICT COURT DISTRICT OF MASSACHUSETTS UNITED STATES OF AMERICA ex rel. * DR. PETER ROST, * * Plaintiff, * * v. * Civil Action No. 03-11084-JLT * PFIZER INC and PHARMACIA * CORPORATION, * * Defendants. * MEMORANDUM August 30, 2006 TAURO, J. Plaintiff-Relator, Dr. Peter Rost, (“Plaintiff”) brings this qui tam action against Defendants Pfizer, Inc. and Pharmacia Corporation (collectively “Defendants”), alleging violations of the Federal False Claims Act1 (“FCA”) and similar state statutes.2 Plaintiff asserts that Defendants, through illegal, off-label marketing of the drug Genotropin, knowingly caused the submission of false claims to federal and state health insurance programs. Defendants now move to dismiss 1 See 31 U.S.C. § 3729 et seq. (2006). 2 See California False Claims Act, Cal. Gov’t Code §§ 12650 et seq.; Delaware False Claims and False Reporting Act, Del. Code Ann. tit. 6, §§ 1201 et seq.; District of Columbia Procurement Reform Amendment Act, D.C. Code §§ 2-308-13 et seq.; Florida False Claims Act, Fla. Stat. §§ 68.081 et seq.; Hawaii False Claims Act, Haw. Rev. Stat. §§ 661-21 et seq.; Illinois Whistleblower Reward and Protection Act, 740 Ill. Comp. Stat.175 et seq.; Massachusetts False Claims Law, Mass. Gen. Laws ch. 12, §§ 5 et seq.; Nevada False Claims Act, Nev. Rev. Stat. §§ 357.010 et seq.; Tennessee Medicaid Fraud Prevention Law, Tenn. Code Ann. §§ 71-5-181 et seq.; Texas Medicaid Fraud Prevention Law, Tex. Hum. Res. Code Ann. §§ 36.001 et seq.; Virginia Fraud Against Taxpayers Act, Va. Code Ann. §§ 8.01-216.1 et seq. 1 Plaintiff’s complaint, arguing that this court lacks subject matter jurisdiction and that Plaintiff’s complaint fails to allege fraud with sufficient particularity. -
Largest 25 Whistleblower Rewards Paid Under the False Claims Act
Top 25 Largest Whistleblower Rewards paid under the False Claims Act and Qui Tam Whistleblower Reward Program Here is a list of the top 25 largest Federal and State False Claims Act qui tam whistleblower reward cases. The government pays rewards to whistleblowers a portion ranging from 15% to 25% of the civil False Claims Act recovery. More details about whistleblower rewards can be found at www.HowToReportFraud.com. Rank Company FCA Settlement Reward Date 1. GlaxoSmithKlinei $2 billion $300 million≈ July 2012 2. Bank of Americaii $1.85 billion $275 million≈ November 2014 3. Johnson & Johnsoniii $1.72 billion $167 million November 2013 4. Pfizeriv $1 billion $102 million August 2009 5. Tenet Heathcarev $900 million $150 million June 2006 6. Abbott Labsvi $800 million $84 million May 2012 7. Eli Lillyvii $800 million $79 million January 2009 8. HCAviii $745 million $150 million December 2000 9. Merckix $650 million $100 million≈ February 2008 10. HCAx $641 million $151 million June 2003 11. JP Morganxi $614 million $90 million≈ February 2014 12. Amgenxii $612 million $90 million≈ December 2012 13. GlaxoSmithKilnexiii $600 million $90 million≈ October 2010 14. Seronoxiv $567 million $50 million October 2005 15. TAPxv $540 million $95 million October 2001 16. New Yorkxvi $540 million $10 million* July 2009 17. AstraZenecaxvii $520 million $45 million April 2010 18. Abbott Labsxviii $414 million $60 million≈ July 2003 19. Freseniusxix $385 million $65 million January 2000 20. NMExx $379 million $65 million July 1994 21. Cephalonxxi $375 million $46 million September 2008 22. Ranbaxyxxii $350 million $49 million May 2013 23. -
Health Care Enforcement 2020 Year in Review & 2021 Outlook
HEALTH CARE ENFORCEMENT 2020 Year in Review & 2021 Outlook TABLE OF CONTENTS Introduction ......................................................................................................................................3 Statistical Trends in Civil False Claims Act Litigation in 2020 .................................................................4 Qui Tam Case Volume Decreased While Government-Initiated Matters Increased .................................4 Hospitals and Physicians Continue to Be the Leading Targets of Qui Tam Cases ...................................7 Current and Former Employees Continue to Bring the Vast Majority of Health Care Qui Tam Cases ...............................................................................................................................7 Health Care Qui Tam Suits Are Concentrated in Major Metropolitan Areas ............................................8 Health Care Fraud Enforcement Priorities in 2020 ................................................................................9 Opioids .........................................................................................................................................9 Purdue Pharma ............................................................................................................................9 Indivior Solutions ....................................................................................................................... 10 Practice Fusion ......................................................................................................................... -
“Rolling Stone” Columnist Matt Taibbi Visits for Finance Café Career Day
THE NATION'S OLDEST ON THE WEB: COUNTRY DAY SCHOOL www.pingry.org/stu- NEWSPAPER VOLUME CXXXIV, NUMBER 3 dents/therecord.html VOLUME CXXX, SPEciAL EDI- VOLUME CXXXVIII, NUMBER 3 The Pingry School, Martinsville, New Jersey FEBRUARY 24, 2012 “Rolling Stone” Columnist Matt Taibbi Visits for Finance Café By ALYSSA BAUM (IV) journalist, he had to become an Mr. Taibbi also explained that Mikaela Lewis (IV) agreed that expert in the fields on which he “human beings have a tremen- “Mr. Taibbi made a difficult topic On February 3rd, Matt Taibbi was reporting. Since then, he has dous urge to take short cuts” and easier to understand” adding that spoke to the Upper School as part extensively covered the 2008 and described the “fairy tale mental- she “liked the interactive portions of this year’s Finance Café. Mr. 2012 elections, the international ity” that makes people think they of the assembly.” Taibbi is a political, financial, financial crisis, and what he sees can transform something worth- Miss Leslie Wolfson, Eco- and sports reporter for “Rolling as corruption on Wall Street. less into something valuable by nomics teacher and Financial Stone” magazine and “Men’s These endeavors, among others, simply snapping their fingers. Literacy coordinator, thought Journal,” a New York Times led him to be named one of the According to Mr. Taibbi, this Mr. Taibbi connected with the bestselling author, and a regular 35 Most Influential New Yorkers mentality allowed people who students well during his presen- on radio and television talk shows under 35. were unqualified to receive bank tation. -
Qui Tam Relators, the First Amendment, and the False Claims Act Joshua Patrick Mahoney [email protected]
University of Chicago Legal Forum Volume 2012 | Issue 1 Article 13 Qui Tam Relators, the First Amendment, and the False Claims Act Joshua Patrick Mahoney [email protected] Follow this and additional works at: http://chicagounbound.uchicago.edu/uclf Recommended Citation Mahoney, Joshua Patrick () "Qui Tam Relators, the First Amendment, and the False Claims Act," University of Chicago Legal Forum: Vol. 2012: Iss. 1, Article 13. Available at: http://chicagounbound.uchicago.edu/uclf/vol2012/iss1/13 This Comment is brought to you for free and open access by Chicago Unbound. It has been accepted for inclusion in University of Chicago Legal Forum by an authorized administrator of Chicago Unbound. For more information, please contact [email protected]. Comments Qui Tam Relators, the First Amendment, and the False Claims Act Joshua Patrick Mahoneyt INTRODUCTION The False Claims Act (FCA)1 allows a private citizen to file suit "for the person and for the United States government." 2 The citizen sues to recover damages for "false or fraudulent claim[s]" submitted to the government for payment.3 While the Attorney General is also authorized to bring claims under the FCA, 4 pri- vate citizen suits, also called "qui tam"5 suits, comprise a signifi- cant majority of FCA claims filed.6 Qui tam suits account for the largest portion of funds recovered under the FCA.7 To bring a qui t BA 2009, University of Northern Iowa; JD Candidate 2013, The University of Chicago Law School. 1 31 USC §§ 3729-33. 2 31 USC § 3730(b)(1). 3 31 USC § 3729(a). -
False Claims Act Practice Guide 2021 ©2021 Smith Pachter Mcwhorter PLC
False Claims Act Practice Guide 2021 ©2021 Smith Pachter McWhorter PLC. This publication is not intended to provide legal advice but to provide information on legal matters. Transmission is not intended to create and receipt does not establish an attorney-client relationship. Readers should seek specific legal advice before taking any action with respect to matters mentioned in this publication. SMITH PACHTER McWHORTER PLC Table of Contents Introduction Part One: FCA Statutory Framework and Legal Elements A. FCA Statute and Elements of Proof .............................................................................................. 1 B. Elements of Proof and Judicial Interpretations of Terms ................................................................... 2 C. Qui Tam Provision ................................................................................................................... 4 D. FCA’s Statute of Limitations ....................................................................................................... 6 E. Damages ............................................................................................................................... 6 Part Two: Risk Areas and Enforcement A. Theories of Liability ................................................................................................................. 8 1. Improper Performance on Deliverables ................................................................................... 9 2. Truth in Negotiations Act Violations ...................................................................................... -
Astrazeneca to Pay $520 Million for Off-Label Drug Marketing
U.S. Department of Justice United States Attorney Eastern District of Pennsylvania 615 Chestnut Street Suite 1250 Philadelphia, Pennsylvania 19106-4476 (215) 861-8200 April 27, 2010 PHARMACEUTICAL COMPANY ASTRAZENECA TO PAY $520 MILLION FOR OFF-LABEL DRUG MARKETING WASHINGTON – The Department of Justice today announced a $520 million civil settlement with pharmaceutical company AstraZeneca LP and AstraZeneca Pharmaceuticals, LP (AstraZeneca) to resolve allegations made under the civil False Claims Act that AstraZeneca illegally marketed the anti-psychotic drug Seroquel for uses not approved as safe and effective by the Food and Drug Administration (FDA). Such unapproved uses are also known as “off-label” uses because they are not included in the drug’s FDA approved product label. United States Attorney General Eric Holder, Assistant Attorney General for the Civil Division Tony West, and United States Attorney Michael L. Levy of the Eastern District of Pennsylvania announced the settlement today. They were joined by Special Agent-in-Charge Nick DiGiulio of the Office of Inspector General of the Department of Health and Human Services. AstraZeneca, headquartered in Wilmington, Delaware, signed a civil settlement to resolve allegations that by marketing Seroquel for unapproved uses, the company caused false claims for payment to be submitted to federal insurance programs including Medicaid, Medicare, and TRICARE programs, and to the Department of Veterans Affairs, the Federal Employee Health Benefits Program, and the Bureau of Prisons. The civil settlement agreement provides that AstraZeneca will pay up to $520 million to the federal government and the states to resolve civil allegations originally brought in a lawsuit under the qui tam provisions of the federal False Claims Act and various state False Claims Act statutes. -
Current Issues Under the Civil False Claims Act: Worthless Services, Off-Label Use, and More
CURRENT ISSUES UNDER THE CIVIL FALSE CLAIMS ACT: WORTHLESS SERVICES, OFF-LABEL USE, AND MORE Prepared for American Health Lawyers Association Fundamentals of Health Law Program November 10, 2008 Elizabeth Carder-Thompson and Andrew L. Hurst Reed Smith LLP Washington DC 202.414.9200 I. INTRODUCTION A dizzying array of civil and criminal provisions address false or fraudulent representations made to, and false claims filed with, Medicare, Medicaid, and state and federal health care programs. This outline will briefly identify relevant criminal and civil provisions relating to these issues, and then focus more closely on recent uses of the civil False Claims Act (“FCA”) in government investigations of health care providers, suppliers, and manufacturers, including a section on state false claims legislation. Finally, it will discuss the issue of distinguishing overpayments from false claims and provide information on the voluntary disclosure program of the Office of the Inspector General (“OIG”) of the Department of Health and Human Services (HHS). II. CRIMINAL STATUTES: OVERVIEW A. Medicare and Medicaid Anti-Fraud and Abuse Amendments (42 U.S.C. §1320a-7b) This section of the Social Security Act (“SSA”) provides criminal penalties for engaging in certain activities involving Federal health care programs. Subsection (a) governs false statements and representations, and makes it a crime knowingly and willfully to: 1) make or cause to be made a false statement of a material fact in any application for any payment; 2) make or cause to be made a false statement of a material fact for use in determining rights to payment; 3) fail to disclose or to conceal an event affecting an individual or continued right to receive a benefit or payment; 4) converting benefits for personal use; 5) presenting claims by unlicensed physicians; and 6) counseling on asset transfer to permit Medicaid or other eligibility. -
The News Media and Manufacturing Consent in the 21St Century | Matt
The News Media and Manufacturing Consent in the 21st Century | Matt Taibbi As news reporting becomes more politicized, more negativistic, less trustworthy, February 18th, 2019 and generally more of a headache to digest, people increasingly are going to turn to narrative as a source of information. ― Matt Taibbi INTRODUCTION Matt Taibbi is a contributing editor for Rolling Stone and winner of the 2008 National Magazine Award for columns and commentary. His most recent book is ‘I Can’t Breathe: A Killing on Bay Street,’ about the infamous killing of Eric Garner by the New York City police. He’s also the author of the New York Times bestsellers 'Insane Clown President,' 'The Divide,' 'Griftopia,' and 'The Great Derangement.' WHY DO I CARE? For someone who has made his career working in and around media – first, on the application development/UI side and later, on the content and editorial side – I have been impressed by how long the legacy industry has struggled to keep up with the disruptive forces of innovation wrought by the Web (blogs, in particular), Google (YouTube included), Apple (podcasting, in particular), and the large social media platforms (Facebook, Twitter, etc.). Although Craig’s List, Monster.com, and other online list boards were the first to really attack the business-side of the news industry (print media, primarily), it was blog software that commoditized journalism and created the first real, online market for alternative news and information. YouTube Media - began to do the same for the broadcast and cable news markets, and now podcasts are disrupting everything by taking attention away from written, as well as motion content, particularly for long- Multi form, in-depth material. -
Economic Perspectives
The Journal of The Journal of Economic Perspectives Economic Perspectives The Journal of Spring 2015, Volume 29, Number 2 Economic Perspectives Symposia The Bailouts of 2007–2009 Austan D. Goolsbee and Alan B. Krueger, “A Retrospective Look at Rescuing and Restructuring General Motors and Chrysler” W. Scott Frame, Andreas Fuster, Joseph Tracy, and James Vickery, “The Rescue of Fannie Mae and Freddie Mac” Charles W. Calomiris and Urooj Khan, “An Assessment of TARP Assistance to Financial Institutions” Robert McDonald and Anna Paulson, “AIG in Hindsight” Phillip Swagel, “Legal, Political, and Institutional Constraints on A journal of the the Financial Crisis Policy Response” American Economic Association Disability Insurance Jeffrey B. Liebman, “Understanding the Increase in Disability Insurance Benet 29, Number 2 Spring 2015 Volume Receipt in the United States” Pierre Koning and Maarten Lindeboom, “The Rise and Fall of Disability Insurance Enrollment in the Netherlands” James Banks, Richard Blundell, and Carl Emmerson, “Disability Benet Receipt and Reform: Reconciling Trends in the United Kingdom” Articles Darrell Dufe and Jeremy C. Stein, “Reforming LIBOR and Other Financial Market Benchmarks” Rainer Böhme, Nicolas Christin, Benjamin Edelman, and Tyler Moore, “Bitcoin: Economics, Technology, and Governance” Konstantin Kashin, Gary King, and Samir Soneji, “Systematic Bias and Nontransparency in US Social Security Administration Forecasts” Recommendations for Further Reading Spring 2015 The Journal of Economic Perspectives A journal of -
AP US Government & Politics
AP US Government & Politics Summer Assignment Welcome to AP US Government & Politics Course. To prepare for class, you are required to do the following things over the summer: I) Follow a reputable news source over the summer to keep current on political issues. We will frequently be making connections to current events. Some news sources you may wish to utilize are: C-Span, Roll Call, CNN, NY Times, Washington Post or The Hill. Many students have added one of these sources as apps to their phone to stay current. AND II) Read a politically related book and do a summary and reflection. A. Choose any book from the list on the reverse side! B. Check to see if the book listed below is available in a library before buying them. C. Refer to the instructions for directions. Book Review Instructions Your book review should be typed, and include detailed responses and citations for the Reflection & Evaluation part. Your overall summary should be no longer than 3 pages double spaced and answer all the questions listed below. Include at the top of the first page a basic bibliographical citation: Author, title, place and date of publication along with your name and teacher’s name. *Make sure you include detailed examples and cite the book (using page numbers when necessary) as you respond to the questions listed below. 1. REFLECTION based on 5 separate quotes from the book. After reading you should have 5 statements/quotes you would like to respond to. The reflection should include an interpretation of what the author is saying as well as your personal response.