{"id":430723,"date":"2021-02-08T09:44:58","date_gmt":"2021-02-08T14:44:58","guid":{"rendered":"http:\/\/www.marketnewsdesk.com\/?p=430723"},"modified":"2021-02-08T09:44:58","modified_gmt":"2021-02-08T14:44:58","slug":"humana-and-roche-settle-false-claims-act-lawsuit-for-12-5-million","status":"publish","type":"post","link":"https:\/\/www.marketnewsdesk.com\/index.php\/humana-and-roche-settle-false-claims-act-lawsuit-for-12-5-million\/","title":{"rendered":"Humana and Roche Settle False Claims Act Lawsuit for $12.5 Million"},"content":{"rendered":"

\nRelator Awarded Nearly $4 Million for Bringing Kickback Violations to Light
\n<\/h2>\n
\n

NEW YORK, Feb. 08, 2021 (GLOBE NEWSWIRE) — Sanford Heisler Sharp, LLP announced that Indianapolis-based Roche Diagnostics Corp. and Roche Diabetes Care, Inc. (\u201cRoche\u201d) and Louisville-based Humana, Inc., Humana Pharmacy, Inc., and Humana Pharmacy Solutions, Inc. (\u201cHumana\u201d) have agreed to settle a False Claims Act lawsuit brought by a whistleblower relator (\u201cRelator\u201d) on behalf of the United States. Defendants will pay $12.5 million to settle the government\u2019s claims, and the Relator will receive a 29% share of the settlement, totaling $3,625,000.<\/p>\n

Sanford Heisler Sharp represents the Relator who filed the case in 2014 in the U.S. District Court for the Northern District of Illinois under the whistleblower provisions of the False Claims Act.<\/p>\n

The Relator, a former employee of Roche Diagnostics, alleged that the Defendants violated the Anti-Kickback Statute and False Claims Act, causing false claims to be submitted to the Medicare Advantage program and defrauding taxpayers. Medicare Advantage health plans (sometimes called Medicare Part C) are Government-funded health plans that are administered by private companies known as Medicare Advantage Organizations.<\/p>\n

\u201cThis case demonstrates that Medicare Advantage Organizations, pharmacy benefit managers, and pharmaceutical companies can be held responsible for giving or accepting payments in exchange for access to Medicare Advantage funds,\u201d said Inayat Ali Hemani, New York Partner and Co-Chair of Sanford Heisler Sharp\u2019s Whistleblower Practice. \u201cOur client has helped the Government recover millions of dollars and shed light on secretive transactions between pharmaceutical companies and Medicare Advantage Organizations.\u201d<\/p>\n

Humana is a Medicare Advantage Organization that administers Medicare Advantage health plans. Humana Pharmacy is a mail order pharmacy that disburses pharmaceutical products to Humana\u2019s members. Humana Pharmacy Solutions is a pharmacy benefit manager that contracts with pharmaceutical companies to arrange for Humana health plans\u2019 pharmaceutical benefits. Roche manufactures and markets medical devices to monitor and manage blood sugar.<\/p>\n

The Relator accused Humana and Roche of entering a kickback relationship where debt forgiveness was traded for access to government-funded Medicare business. Specifically, Relator alleged that Roche forgave millions of dollars owed by Humana in exchange for Humana purchasing Roche diabetes testing supplies and favoring Roche diabetes testing supplies over competitors\u2019 products in Humana\u2019s Medicare Advantage plans.<\/p>\n

\u201cThe recovery obtained in this case is a testament to the power of whistleblowers in America,\u201d said Michael D. Palmer, Partner in Sanford Heisler Sharp\u2019s New York office. \u201cThis is truly an excellent result for both the Government and the Relator.\u201d<\/p>\n

After the Government declined to intervene, Relator and her counsel, Sanford Heisler Sharp, litigated the case on the Government\u2019s behalf. After defeating Defendants\u2019 motions to dismiss the case, Relator aggressively pursued discovery. In 2020, the parties filed motions on the merits of the case. While the motions were pending the Parties agreed to settle the case. The settlement is the first False Claims Act settlement arising from a Medicare Advantage Organization accepting a kickback from a pharmaceutical company<\/p>\n

\u201cOur client had the courage to hold Defendants accountable, at great personal risk. We are honored to have represented her and hope that others will continue to demonstrate similar courage and initiative,\u201d said Kevin Sharp, Managing Partner of the firm\u2019s Nashville office.\u00a0\u00a0<\/p>\n

\n About Sanford Heisler Sharp, LLP<\/strong>\n <\/p>\n

Sanford Heisler Sharp, LLP is a national public interest class-action litigation law firm with offices in New York, Washington, D.C., San Francisco, San Diego, Nashville, and Baltimore. Sanford Heisler Sharp focuses on employment discrimination, wage and hour, whistleblower, criminal\/sexual violence, and financial services matters. The firm has recovered over $1 billion for its clients through many verdicts and settlements<\/a>.<\/p>\n

For the latest news about Sanford Heisler Sharp, visit the firm\u2019s newsroom<\/a> or follow the firm on Facebook<\/a>, LinkedIn<\/a>, or Twitter<\/a>.<\/p>\n

If you have potential legal claims and are seeking counsel, please\u00a0call 646-402-5650 or email david.sanford@sanfordheisler.com<\/a>. Attorneys at Sanford Heisler Sharp would like to have the opportunity to help you.<\/p>\n

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<\/div>\n","protected":false},"excerpt":{"rendered":"

Relator Awarded Nearly $4 Million for Bringing Kickback Violations to Light NEW YORK, Feb. 08, 2021 (GLOBE NEWSWIRE) — Sanford Heisler Sharp, LLP announced that Indianapolis-based Roche Diagnostics Corp. and Roche Diabetes Care, Inc. (\u201cRoche\u201d) and Louisville-based Humana, Inc., Humana Pharmacy, Inc., and Humana Pharmacy Solutions, Inc. (\u201cHumana\u201d) have agreed to settle a False Claims Act lawsuit brought by a whistleblower relator (\u201cRelator\u201d) on behalf of the United States. Defendants will pay $12.5 million to settle the government\u2019s claims, and the Relator will receive a 29% share of the settlement, totaling $3,625,000. Sanford Heisler Sharp represents the Relator who filed the case in 2014 in the U.S. District Court for the Northern District of Illinois under the whistleblower provisions of … <\/p>\n

Continue reading “Humana and Roche Settle False Claims Act Lawsuit for $12.5 Million”<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-430723","post","type-post","status-publish","format-standard","hentry"],"yoast_head":"\nHumana and Roche Settle False Claims Act Lawsuit for $12.5 Million - Market Newsdesk<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.marketnewsdesk.com\/index.php\/humana-and-roche-settle-false-claims-act-lawsuit-for-12-5-million\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Humana and Roche Settle False Claims Act Lawsuit for $12.5 Million - Market Newsdesk\" \/>\n<meta property=\"og:description\" content=\"Relator Awarded Nearly $4 Million for Bringing Kickback Violations to Light NEW YORK, Feb. 08, 2021 (GLOBE NEWSWIRE) — Sanford Heisler Sharp, LLP announced that Indianapolis-based Roche Diagnostics Corp. and Roche Diabetes Care, Inc. (\u201cRoche\u201d) and Louisville-based Humana, Inc., Humana Pharmacy, Inc., and Humana Pharmacy Solutions, Inc. (\u201cHumana\u201d) have agreed to settle a False Claims Act lawsuit brought by a whistleblower relator (\u201cRelator\u201d) on behalf of the United States. Defendants will pay $12.5 million to settle the government\u2019s claims, and the Relator will receive a 29% share of the settlement, totaling $3,625,000. 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