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West Year In Review – Fraud Debarment and Suspension,” Thomson-Reuters West Year-In-Review Conference Briefs


1. Statistics – Fiscal Year 2014
FY 2015 FY 2014
Total Settlements & Judgments $3.58 Billion $5.69 Billion
Qui Tam Settlements & Judgments $2.8 Billion $2.99 Billion
New Qui Tam Matters 632 713
All New Matters 737 804
Recovery in Procurement Fraud $1.1 Billion $65 Million
Recovery in Nonintervened Cases $1.1 Billion $80 Million

The Justice Department reached 70 settlements involving 457 hospitals in 43 states for more than $250 million related to cardiac devices that were implanted in Medicare patients in violation of Medicare coverage requirements. The settlement stemmed from a qui tam suit brought by a cardiac nurse and a health care reimbursement consultant. DaVita Healthcare Partners, Inc. The country’s largest provider of dialysis services agreed to pay $450 million to resolve claims that it violated the FCA by knowingly creating unnecessary waste in administering the drugs Zemplar® and Venofer® to dialysis patients, and then billing the federal government for such avoidable waste. The government had elected not to intervene in the lawsuit despite two years of investigating. c. MetLife Home Loans LLC. MetLife has agreed to pay $123.5 million to resolve allegations that MetLife Bank violated the FCA by knowingly originating and underwriting mortgage loans insured by the Federal Housing Administration that did not meet applicable requirements. d. UFC Aerospace. The aerospace supply chain company and its former president agreed to pay $20 million to resolve a suit alleging that the company fraudulently said it was a women-owned small business in order to procure $48 million in government contract

Co-Authors: Robert Rhoad, W. Stanfield Johnson.

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