Commonwealth of Pennsylvania v. International Business Machines Corp.
On or about June 29, 2006, the Commonwealth of Pennsylvania, Department of Labor and Industry and IBM entered into Contract No. RFP UC 2005-1, for services related to the modernization of the unemployment compensation delivery system in the Commonwealth (the “Contract”), in a project known as the Unemployment Compensation Modernization System (“UCMS”). DLI allowed the […]
U.S.A., State of Maryland ex rel. J. Doe v. Shore Health System, Inc.
On July 16, 2021 the Maryland U.S. Attorney’s Office and the State of Maryland reached a nearly $9.5 million settlement with Shore Health System, Inc. to resolve False Claims Act allegations filed by a whistleblower. Shore Health, a subsidiary of the University of Maryland Medical System that operates two hospitals and several non-hospital outpatient centers located on Maryland’s Eastern Shore, was alleged to have overcharged the Medicare and Maryland Medicaid programs between 2014 and 2018 for services provided to Medicare and dual eligible Medicare and Medicaid beneficiaries.
USA, ex. rel. O’Connor v. National Spine and Pain Centers, LLC
United States ex rel. O’Connor v. National Spine and Pain Centers, LLC: A qui tam action alleging that pain management practices defrauded the government health care programs by billing for services furnished by physician assistants and nurse practitioners as “incident to” a physician’s service when the services did not qualify as such, and referring patients for unnecessary drug tests. The United States intervened in and settled this action for approximately $3.3 million.
USA, ex. rel., Lauren Kieff, et al. v. Wyeth
United States of America et al., ex rel. Lauren Kieff, v. Wyeth, No.1:03-CV-12366-DPW (D.Mass.): A qui tam action alleging that drug manufacturer Wyeth overcharged the state Medicaid programs by not providing them the statutorily required “best price” for a widely prescribed drug. This action resulted in a recovery of more than $780 million by the government.