3rd Circuit: Humana Can Sue GSK For Reimbursement For Avandia-Related Expenses

PHILADELPHIA - Medicare Advantage provider Humana Medical Plan Inc. is allowed under Medicare law to seek reimbursement from GlaxoSmithKline PLC (GSK) for the costs of treating insurance customers who were injured by GSK's Avandia diabetes drug, a unanimous Third Circuit U.S. Court of Appeals panel...

Ky. Appeals Court Vacates $130M Drug-Pricing Verdicts, Says State Was 'Complicit'

FRANKFORT, Ky. - A Kentucky appeals court panel on Oct. 12 vacated verdicts totaling more than $130.7 million against two drug makers for publishing inflated average wholesale prices (AWPs), saying the Kentucky Medicaid program was well aware of the practice and was complicit in the scheme ( Sandoz Inc...

Ex-Orthofix Manager Sentenced To 5 Months Of House Arrest For Health Care Fraud

BOSTON - A former manager for medical device maker Orthofix Inc. was sentenced Jan. 9 to five months of home confinement and ordered pay and forfeit $44,000 for defrauding Medicare by falsifying medical records (United States of America v. Derrick R.D. Field, No. 12-cr-10057, D. Mass.).

Another Orthofix Manager Sentenced For Fraudulent Medical Device Orders

BOSTON - A former territory manager for Orthofix Inc. was sentenced Jan. 23 to three months of home confinement and one year of probation and ordered to pay $13,000 after pleading guilty to one count of health care fraud for falsifying medical device records submitted for Medicare reimbursement (United...

Wisconsin Appeals Court Affirms $22M Drug-Pricing Judgment Against Pharmacia

MADISON, Wis. - A Wisconsin appeals court panel on Feb. 6 upheld a $22 million judgment against Pharmacia Corp. for reporting inflated average wholesale prices (AWPs) that resulted in the state Medicaid program overpaying for prescription drugs (State of Wisconsin v. Abbott Laboratories, et al., No....

Supreme Court Denies Certiorari; Provider Can Sue For Avandia-Related Expenses

WASHINGTON, D.C. - The U.S. Supreme Court on April 15 denied a petition for writ of certiorari filed by GlaxoSmithKine PLC (GSK), leaving stand a decision allowing a Medicare Advantage provider to seek reimbursement from GSK under Medicare law for the costs of treating insurance customers who were injured...

Government Seeks Stay Of Plan B Contraceptive Order Pending 2nd Circuit Appeal

BROOKLYN, N.Y. - The federal government on May 1 asked a judge to stay, pending appeal, his order that the Food and Drug Administration make all Plan B emergency contraceptive products available without age or point-of-sale restrictions, saying the court exceeded its authority in ordering the agency...

Citing Politics, Judge Will Let 2nd Circuit Stay His Plan B Access Order

BROOKLYN, N.Y. - Saying that the U.S. secretary of Health and Human Services is playing politics and that the Food and Drug Administration inked a "sweetheart" deal with Teva Women's Health, a New York federal judge on May 10 granted only a temporary stay of his order for unrestricted sale...

Judge Dismisses Kickback Claims, Allows Off-label Marketing Claim To Continue

PHILADELPHIA - A Pennsylvania federal judge on June 13 dismissed kickback claims from a qui tam False Claim Act (FCA) case in which a pharmaceutical company is accused of wrongfully marketing one of its prescription drugs, thereby causing the submission of false claims to the government under Medicare...

Florida Appeals Panel Revives Couple's Claims Against Health Care Company

MIAMI - The Third District Florida Court of Appeal on July 17 reversed a trial court decision dismissing claims against a health care provider, ruling that the plaintiffs' claims were not for medical malpractice (Angel Acosta, et al. v. HealthSpring of Florida Inc., No. 3D12-1340, Fla. App., 3rd...

Podiatrist Admits Lying To Grand Jury Investigating Orthofix Health Care Fraud

BOSTON - A Virginia podiatrist on Jan. 15 pleaded guilty to lying to a federal grand jury during an investigation into health care fraud and kickbacks related to bone growth stimulators sold by Orthofix Holdings Inc. (United States of America v. Ilene Terrell, No. 1:13-10180, D. Mass.).