{"id":27372,"date":"2016-10-17T13:26:00","date_gmt":"2016-10-17T20:26:00","guid":{"rendered":"https:\/\/cjnotebook.com\/?p=27372"},"modified":"2016-10-17T13:29:00","modified_gmt":"2016-10-17T20:29:00","slug":"nations-largest-nursing-home-pharmacy-pay-28-million-settle-kickback-allegations","status":"publish","type":"post","link":"https:\/\/cjnotebook.com\/?p=27372","title":{"rendered":"Nation’s Largest Nursing Home Pharmacy to Pay $28 Million to Settle Kickback Allegations"},"content":{"rendered":"

\"FBIThe nation\u2019s largest nursing home pharmacy, Omnicare Inc., agreed Monday to pay $28.1 million to resolve allegations that it solicited and received kickbacks from pharmaceutical manufacturer Abbott Laboratories<\/span><\/p>\n

The bribes were made in exchange for promoting the prescription drug, Depakote, for nursing home patients, officials announced.<\/span><\/p>\n

CVS Health Corporation<\/strong>, which is headquartered in Rhode Island, acquired Ohio-based Omnicare in 2015, approximately six years after Omnicare ended the conduct that gave rise to the settlement.<\/span><\/p>\n

\u201cIt is disturbing that any health care corporation would pay kickbacks that corrupt the professional medical decision making process in order to pad their profits,\u201d said Special Agent in Charge Nicholas DiGiulio of the Department of Health and Human Services Office of Inspector General (HHS OIG).\u00a0 \u201cThese practices are unacceptable and will not be tolerated.\u201d<\/span><\/p>\n

Nursing homes rely on consultant pharmacists, such as those employed by Omnicare, to review their residents\u2019 medical charts at least monthly and make recommendations to their physicians about what drugs should be prescribed for those residents.<\/span><\/p>\n

The settlement announced today resolves allegations that Omnicare solicited and received kickbacks from Abbott in exchange for recommending that physicians prescribe Depakote, an anti-epileptic drug manufactured by Abbott, to elderly nursing home residents.<\/span><\/p>\n

\u201cEvery day, elderly nursing home residents suffering from dementia rely on the independent judgment of our nation\u2019s healthcare professionals for their personal care and their medical treatment,\u201d said Principal Deputy Assistant Attorney General Benjamin C. Mizer, head of the Department of Justice\u2019s Civil Division.<\/strong>\u00a0 \u201cKickbacks to entities making drug recommendations compromise their independence and undermine their role in protecting nursing home residents from the use of unnecessary drugs.\u201d<\/span><\/p>\n

\"MedicareCardAccording to the government\u2019s complaint, Omnicare disguised the kickbacks it received from Abbott in a variety of ways.<\/span><\/p>\n

Abbott allegedly made payments to Omnicare described as \u201cgrants\u201d and \u201ceducational funding,\u201d even though their true purpose was to induce Omnicare to recommend Depakote.<\/span><\/p>\n

For example, Omnicare allegedly solicited substantial contributions from Abbott and other pharmaceutical manufacturers to its \u201cRe*View\u201d program.<\/span><\/p>\n

Although Omnicare claimed that Re*View was a \u201chealth management\u201d and \u201ceducational\u201d program, the complaint alleges that it was simply a means by which Omnicare solicited kickbacks from pharmaceutical manufacturers in exchange for increasing the utilization of their drugs on elderly nursing home residents.<\/span><\/p>\n

In internal documents, Omnicare allegedly referred to Re*View as its \u201cone extra script per patient\u201d program.\u00a0 <\/span><\/p>\n

\"MedicalThe complaint also alleges that Omnicare entered into agreements with Abbott by which Omnicare was entitled to increasing levels of rebates from Abbott based on the number of nursing home residents serviced and the amount of Depakote prescribed per resident.<\/span><\/p>\n

Finally, the complaint alleges that Abbott funded Omnicare management meetings on Amelia Island, Florida, offered tickets to sporting events to Omnicare management and made other payments to local Omnicare pharmacies.<\/span><\/p>\n

In May 2012, the federal goverment, numerous states and Abbott entered into a $1.5 billion global civil and criminal resolution that, among other things, resolved Abbott\u2019s liability under the False Claims Act for alleged kickbacks to nursing home pharmacies, including Omnicare and PharMerica Corp.<\/span><\/p>\n

In October 2015, PharMerica agreed to pay $9.25 million to the federal government and numerous states to resolve civil liability under the False Claims Act for the alleged kickbacks from Abbott.\u00a0 The settlement announced today resolves Omnicare\u2019s role in that alleged kickback scheme.<\/span><\/p>\n

\u201cThis settlement ensures that some of the most vulnerable amongst us, those suffering from dementia, are provided with the level of care they deserve,\u201d said U.S. Attorney John P. Fishwick Jr. for Virginia.\u00a0 \u201cFamilies and loved ones who make the difficult decision to place those they care about into a nursing home must do so with the confidence that medical decisions are being made with the interests of the patient in mind, not big drug companies.\u201d<\/span><\/p>\n

Approximately $20.3 million of the settlement will go to the federal government, while $7.8 million has been allocated to cover Medicaid program claims by states that elect to participate in the settlement.<\/span><\/p>\n

The Medicaid program is jointly funded by the federal and state governments.<\/span><\/p>\n

The settlement with Omnicare announced today, together with the prior settlements with Abbott and PharMerica, resolves allegations in two lawsuits filed in federal court in the Western District of Virginia by Richard Spetter<\/strong> and Meredith McCoyd,<\/strong> former Abbott employees.<\/span><\/p>\n

\"whistleblower-protection\"The lawsuits were filed under the qui tam, or whistleblower, provisions of the False Claims Act, which permit private individuals to sue on behalf of the government for false claims and to share in any recovery.<\/span><\/p>\n

The act also allows the government to intervene and take over the action, as it did in part in this case in May 2014.\u00a0 <\/span><\/p>\n

The federal government filed a complaint-in-intervention against Omnicare in December 2014.\u00a0<\/span><\/p>\n

As part of \u00a0the resolution, McCoyd will receive $3\u00a0million from the federal share of the settlement amount.<\/span><\/p>\n

This settlement illustrates the government\u2019s emphasis on combating health care fraud and marks another achievement for the Health Care Fraud Prevention and Enforcement Action Team (HEAT) initiative, which was announced in May 2009 by the Attorney General and the Secretary of Health and Human Services.<\/span><\/p>\n

The partnership between the two departments has focused efforts to reduce and prevent Medicare and Medicaid financial fraud through enhanced cooperation.<\/span><\/p>\n

One of the most powerful tools in this effort is the False Claims Act.\u00a0 Since January 2009, the Justice Department has recovered a total of more than $31.6 billion through False Claims Act cases, with more than $19.2 billion of that amount recovered in cases involving fraud against federal health care programs.\u201d<\/span><\/p>\n

\n","protected":false},"excerpt":{"rendered":"

The nation\u2019s largest nursing home pharmacy, Omnicare Inc., agreed Monday to pay $28.1 million to resolve allegations that it solicited and received kickbacks from pharmaceutical manufacturer Abbott Laboratories The bribes were made…<\/p>\n","protected":false},"author":1,"featured_media":3810,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[16,3],"tags":[307,3090,179],"class_list":["post-27372","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-home-main-slider","category-u-s-department-of-justice","tag-bribery","tag-cvs-health-corporation","tag-medicare"],"yoast_head":"\nNation's Largest Pharmacy Pays $28 Million to Settle Bribery Case<\/title>\n<meta name=\"description\" content=\"The nation\u2019s largest nursing home pharmacy, Omnicare Inc., agreed to pay $28.1 million to resolve allegations that it solicited and received kickbacks\" \/>\n<meta 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