Generic drug pricing fraud occurs when pharmaceutical manufacturers illegally collude to fix prices or pay kickbacks to inflate generic drug costs paid by Medicare and Medicaid. These schemes cost taxpayers billions and undermine fair competition. Teva Pharmaceuticals, the largest U.S. generic drug manufacturer, agreed to pay $450 million in 2024 to resolve False Claims Act
Missouri Attorney General Catherine Hanaway has announced charges against 17 defendants across the state as part of a coordinated Medicaid fraud enforcement sweep, alleging the defendants collectively stole more than $450,000 in taxpayer funds. The cases, filed in multiple jurisdictions, involve a range of schemes targeting Missouri’s Medicaid program—the state-federal partnership that provides healthcare coverage
The Department of Justice has filed a False Claims Act complaint against Jay Johnson and Austin Whiles, former executives at Atlanta-based clinical laboratory Capstone Diagnostics, alleging they orchestrated two schemes that caused Medicare to pay approximately $13.7 million for medically unnecessary genetic and respiratory pathogen testing between 2019 and 2021. According to the complaint, Johnson
A repeat healthcare fraud offender has been arrested and charged in connection with a $4.75 million scheme to bill Medicare for psychotherapy services that were never provided at a Detroit adult day care center. A federal grand jury in the Eastern District of Michigan returned an indictment charging Emory Matthews, 62, of Farmington Hills, with
Dompé U.S. Inc., the California-based subsidiary of Italian pharmaceutical company Dompé farmaceutici S.p.A., has agreed to pay $32 million to resolve allegations that it violated the Anti-Kickback Statute and the False Claims Act. The settlement, announced by the Justice Department, resolves claims that between 2018 and 2021, Dompé paid Medicare beneficiary co-pays through two patient
A Massachusetts eye practice and its physician owner have agreed to pay $350,000 to resolve allegations that they violated the False Claims Act by submitting claims to Medicare and Medicaid for services that were not medically necessary or not properly documented. The settlement, announced by the U.S. Attorney’s Office for the District of Massachusetts, resolves
A Brooklyn woman who owned two social adult daycare centers and a home health care company has been sentenced to 76 months in federal prison for leading a vast $64 million Medicaid fraud and illegal kickback scheme. Zakia Khan, 55, was also ordered to pay over $56 million in restitution and to forfeit $5 million
The owner of an Erie County home health care agency has been sentenced to jail and ordered to pay restitution after being convicted in a $1.86 million Medicaid fraud scheme. The Pennsylvania Office of Attorney General announced the sentencing, which concluded a case involving fraudulent billing practices that diverted taxpayer funds intended for legitimate home
A federal jury in the Eastern District of Virginia has convicted three defendants for their roles in a scheme that submitted more than $11 million in fraudulent claims to Medicaid through a Henrico-based mental health agency. Twin sisters E’mon and Armone’ Ambers, both 31, and Traquan Brown, 32, were found guilty in connection with the
A Utah woman has been charged with healthcare fraud after allegedly submitting false claims to Utah Medicaid for behavioral health services that were never provided. According to the U.S. Attorney’s Office for the District of Utah, the defendant is accused of billing the taxpayer-funded program for services she did not render, in some cases targeting
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