JD Supra1d
Circuit Split Deepens on Anti-Kickback Statute’s Causation Standard
Introduction: In its recent decision in United States v. Regeneron Pharmaceuticals, Inc., the United States Court of Appeals for the First ...
The OIG’s Special Fraud Alert on Medicare Advantage Marketing Arrangements
The alert focuses on suspect payment schemes that could implicate the Federal Anti-Kickback Statute (AKS), the False Claims ...
JD Supra6d
Anti-Kickback Statute Premised False Claims Cases: The “But For” Causation Standard Finds Support from First Circuit
It’s now 3–1, with the First Circuit (2025) aligning with the Sixth (2023) and Eighth (2022) Circuits finding the meaning of the words ...
Company sales director to plead guilty in Boston to offering kickbacks to doctors for brain scans
The sales director for a New York company has agreed to plead guilty to conspiring to offer and pay millions in kickbacks to ...
Money from $30M Medicare scheme used to buy luxury cars, watches, federal prosecutors say
The Massachusetts business owner is accused of billing for orders that the beneficiaries did not deem medically necessary or ...
Sharon man involved in $30M Medicare fraud scheme bought Rolexes, feds say
A Massachusetts businessman is accused of conspiracy to commit health care fraud, buying Ferraris and Rolex watches with profits from a fraudulent scheme, officials said.
Owner of medical equipment businesses charged in $30 million health care fraud scheme
Raju Sharma, 61, is the owner of Pharmagears and RR Medco and allegedly billed Medicare patients for equipment the patients ...
‘He did this to enrich himself’: Mass. businessman charged in $30 million medicare fraud scheme
Raju Sharma, 61, has been charged under a criminal complaint with one count of conspiracy to commit healthcare fraud, leading ...
pharmaphorum6d
Pfizer offers $60m to settle prescriber kickback claims
which violated the US anti-kickback statute. Pfizer paid a hefty $11.6 billion to buy Biohaven in 2022, largely on the promise of Nurtec ODT, which made almost $1.4 billion in sales in 2023 and ...
The National Law Review1d
First Circuit Clarifies FCA Liability Standard for AKS Violations, Deepening Circuit Split
The First Circuit has issued its long-anticipated opinion in United States v. Regeneron Pharmaceuticals, Inc., clarifying the ...
Minnesota House Fraud Committee pushing for stronger laws around kickbacks
Minnesota lawmakers want to know why state officials can't immediately shut down child care programs if kickbacks or fraud are uncovered.