April 21, 2023
Landmark litigation over quid pro quo payments in health care is forcing providers to walk a fine line between perfectly legal conduct and exposure to "huge monetary penalties" and prison time, a BigLaw veteran and onetime architect of government health fraud protocols told Law360.
April 07, 2023
U.S. Supreme Court justices will likely scrutinize a new and "compelling" circuit split over evidence the U.S. Department of Justice and whistleblowers must supply in the False Claims Act's vast realm of kickback cases, one of Uncle Sam's longest-serving health fraud watchdogs told Law360.
March 27, 2023
The transformation of a little-used law against health care kickbacks into a powerful theory of False Claims Act liability has been so successful that enforcement is now spearheaded by a "well-funded" plaintiffs bar that is "in it for the money," a former government lawyer who championed the transformation told Law360.
March 18, 2023
After 50 years of existence, the nation's signature statute criminalizing health care corruption faces a moment of truth amid industry-led legal challenges and new circuit splits — an inflection point with clear echoes of the landmark law's turbulent evolution into a formidable fraud fighter, attorneys told Law360.
January 09, 2023
The U.S. Supreme Court refused Monday to entertain Pfizer's high-profile challenge to a powerful kickback law that has generated billions of dollars in fraud settlements, but the underlying controversy continues in nearly identical litigation that might soon open a circuit split.
December 14, 2022
Pfizer's ambitious assertion that kickback cases require evidence of corrupt intent has "no grounding" in statutory text and relies on fearmongering about prosecutions of innocent individuals, the U.S. Department of Health and Human Services told the U.S. Supreme Court on Wednesday.
November 14, 2022
The pharmaceutical industry's largest lobbying group Monday threw its weight behind Pfizer's attack on federal health-fraud enforcers, warning the U.S. Supreme Court that capacious views of a key kickback law have "far-reaching implications" for prosecutorial powers and whistleblower-led litigation.
October 14, 2022
After back-to-back defeats in lower courts, Pfizer is forging ahead at the U.S. Supreme Court with its closely watched quest to weaken a powerful prohibition on health care kickbacks, telling the justices that they have a golden opportunity to prevent "staggeringly overbroad" enforcement.
July 26, 2022
The Second Circuit backed a lower court's finding that Pfizer's planned efforts to give copay assistance to Medicare beneficiaries for a pricey heart medication would flout an anti-kickback law, disagreeing with Pfizer's argument that parties are only liable under the law if there is some underhanded intent.
October 01, 2021
A New York federal judge has found that Pfizer's planned efforts to offer copay assistance to Medicare beneficiaries for a pricey medication that treats a fatal heart condition are in violation of an anti-kickback law.