Healthcare Finance NewsHealthcare Finance News
TwitterFacebookLinkedIn
  • Home
  • Topics
    • Capital Finance
    • Claims Processing
    • Community Benefit
    • Election 2012
    • Enterprise Content Management
    • Enterprise Resource Planning
    • ICD-10
    • Information Technology
    • Medical Banking
    • Policy and Legislation
    • Quality and Safety
    • Reimbursement
    • Revenue Cycle Management
    • Supply Chain
    • Workforce Management
  • Issues
    • May 2012
    • April 2012
    • March 2012
    • Jan/Feb 2012
    • December 2011
    • November 2011
  • Webinars
    • On Demand Webinars
  • White Papers
  • Blog
  • Jobs
  • Buyer's Guide
  • RSS
  • Press Releases
  • Slideshows
  • Videos
  • Podcasts
  • Supplements
  • Survey Analyses
  • Newsletters
  • Advertise
  • Login
  • Register
  • SUBSCRIBE
    • Newspaper
    • Email Newsletter
Home » News
Receive News By Email

  • del.icio.us
  • Digg
  • StumbleUpon
  • Reddit
  • Facebook
  • Google
  • RSS Icon
  

Pharmaceutical companies to pay $124M over Medicaid fraud charges

October 20, 2009 | Chelsey Ledue, Contributing Editor

Suggested Content

  • HHS provides $181M in grants to six states for health exchanges
  • Abbott Labs to pay $1.6B for off-label drug promotion
  • Medicare Strike Force operations charge 107 for fraud
  • Women in Healthcare: Cathy McMorris Rodgers
  • Halfway house owner receives prison sentence for fraud scheme
  • Texas doctors accused in massive home healthcare fraud
  • Antifraud efforts net U.S. $4.1B in healthcare fraud recoveries
  • Woman pleads guilty to participating in $200M Medicare fraud scheme
  • Justice Department files brief on constitutionality of individual mandate

WASHINGTON – According to the Justice Department, four pharmaceutical companies will pay $124 million to resolve claims of Medicaid fraud.

Mylan Pharmaceuticals, UDL Laboratories, AstraZeneca Pharmaceuticals and Ortho McNeil Pharmaceutical have signed settlement agreements focusing on violations of the False Claims Act, which claimed they failed to pay appropriate rebates to state Medicaid programs for drugs.

"The settlement with Mylan and UDL is the largest healthcare fraud recovery that the U.S. Attorney’s Office in New Hampshire has ever obtained," said John P. Kacavas, U.S. Attorney for the District of New Hampshire. “The settlements show that the government is committed to identifying healthcare fraud and ensuring that companies that benefit from doing business with the government agree to play by the rules."

The Medicaid Prescription Drug Rebate Program was enacted by Congress in 1990 out of concern for the costs that Medicaid was paying for outpatient drugs.

By participating in the rebate program, the four companies agreed to pay quarterly rebates to Medicaid that were based upon the amount of money that the healthcare program paid for each company’s drugs. The amount of a rebate is determined in part by whether a drug is considered an "innovator" or a "non-innovator."

The settlements resolve allegations that the companies sold innovator drugs that were manufactured by other corporations and had been classified as non-innovator drugs. The improper classification of these drugs allegedly enabled the companies to pay smaller rebates.

Mylan and UDL agreed to pay $118 million to resolve allegations involving several drugs from each company. AstraZeneca will pay $2.6 million to resolve allegations that it underpaid its rebate obligations with respect to Albuterol. Ortho McNeil will pay $3.4 million to resolve allegations that it underpaid its rebate obligations with respect to Dermatop.

"The Civil Division will continue to work with our state partners to ensure that Medicaid programs, which provide healthcare to more than 58 million Americans, receives the same discounts that any larger insurer gets," said Tony West, Assistant Attorney General for the Civil Division. "These cases exemplify the strong cooperation between the Department of Justice and the states in protecting American taxpayers."

The case was brought under the False Claims Act, which allows for private persons to file suits on behalf of the government. The whistleblower, Ven-A-Care, a corporation located in Key West, Fla., will receive almost $10.8 million as its share of the recovery.

Related Topics:
  • AstraZeneca Pharmaceuticals
  • Department of Justice
  • Mylan Pharmaceuticals
  • Ortho McNeil Pharmaceutical
  • UDL Laboratories
  • Washington

Reader Comments (0)Login to Post a Comment

Most Popular

Latest Headlines
Most Popular
  • 3 tips for hospitals to decide whether to build new facilities or renovate
  • HCCI: 2010 Healthcare spending outstrips inflation
  • Lessons in crisis management: Q&A with Allscripts CEO Glen Tullman
  • Twitter recap: Social media ROI reform
  • AMA offers online tool for physicians to assess driving ability of older patients
  • Hospitals face risk management head-on
  • Study: Magnet hospitals don't offer better working conditions for nurses
  • Number of people without health insurance rises
  • Are healthcare workers paid too much?
  • AARP lists 'top-ranked' U.S. hospitals
more news

WEBINARS AND WHITE PAPERS

  • WHITE PAPERS
    Case Study: Little Company of Mary Hospital Saves 39 Percent by Participating in Group Buys
  • WHITE PAPERS
    The Christ Hospital Case Study: Improving Operations and Ensuring the Best Possible Patient Care with ECM
  • WHITE PAPERS
    Learn How a Groundbreaking Pharmacy Collaboration Saves More Than Money
  • WHITE PAPERS
    Deceased Patient Receivables: Four Factors for Successful Recovery
  • ON DEMAND WEBINARS
    From Data to Decisions: Best Practices in Analytics for Payers
More Resources
Syndicate content

HEALTHCARE FINANCE JOB SPOT

  • Program Chair - Medical Billing and Coding (13113-139) - Sanford Brown Institute - Portland, OR
  • MEDICAL BILLING AND CODING INSTRUCTOR - PAT_Southeastern Institute - Charlotte, NC
  • Director of Self Pay Call Center - Renown Healthcare - Reno, NV
  • Senior Research Analyst - Southeast USA - ST-FSA w/ solid Healthcare Analytics or Financial Analysis exp (#35763) - D.W. Simpson Global Actuarial Recruitment - FL
  • Revenue Cycle Analyst - Marin General Hospital - Greenbrae, California
more jobs

Marketplace

Follow Healthcare Finance News on TwitterFan Healthcare Finance News on FacebookJoin Healthcare Finance News on LinkedInRSS Subscriptions
Digital EditionBlogEvents
JobsMobile SiteMobile App
 
Healthcare IT News Government Health IT EHRWatch Healthcare Payer News HITECHWatch ICD10Watch mHIMSS PhysBizTech NHINWatch
©2012 MedTech Media Healthcare Finance News is a publication of MedTech Media
Subscribe Advertise About Us Privacy Policy