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30Jun/100

Crankin’up the HEAT

This post was written by Josh

HEAT is the rather odd acronym for the Health Care Fraud Prevention and Enforcement Action Team. It is the brainchild of Attorney General Holder and Health and Human Services Secretary Sebelius, and despite the great stretches of the imagination it takes to make it work as an acronym (HCFPEAT doesn't exactly roll off the tongue), it seems to be taking a bite out of health care fraud.

HEAT is a coordinated effort between DOJ and HHS, and it has a Medicare Fraud Strike Force that has been going around various cities busting health care fraud perps. It's operating in various locations, including South Florida, but no, you are not likely to see Attorney General Holder wearing a Miami Vice suit and driving a go-fast boat into a medical center.

In recent testimony given before the House Ways and Means Subcommittee on Health and Oversight, Edward Siskel, the Associate Deputy Attorney General, stated that since May 2009, the Strike Force has been putting fear in the hearts of health care fraudsters. Strike Force prosecutors have filed over 120 cases charging more than 290 defendants and have obtained 16 convictions. The Strike Force also appears to have had a deterrent effect. In the twelve months since the Strike Force was announced, the Miami area has seen an almost $2 billion reduction in durable medical equipment submissions compared to the preceding 12 month period.

Deputy AG Siskel also notes in his testimony statistics all too familiar to qui tamers: the bulk of the DOJ's civil case load comprises suits against drug and medical device makers. Qui tam suits have proved to be an important weapon in the DOJ's fraud-fighting arsenal, and have helped the government to recover $24 billion since 1986. This goes to show that the civil justice system is just as important as the swaggering Task Force in the fight against health care fraud.

This article is brought to you by the QTT, the epicenter for whistleblowers and people interested in the False Claims Act, Qui Tam Provisions, and Medicare and Medicaid fraud. To discuss a potential case, please call Eric Young at 1 (800) 590-4116.

Tagged as: False Claims Act, FCA, fraud, government, health care, medicaid, medicare, Pharmaceutical, qui tam No Comments

25Jun/100

False Marking Suit Against Solo Cup Lid Maker is a Bust

This post was written by Josh

The patent attorney who brought a qui tam suit against the maker of Solo cup lids has failed in his quest to collect trillions of dollars in fines. We blogged previously about patent lawyer Matthew Pequignot's suit against Solo based on the qui tam provision of the patent law which allows citizens to sue companies that deceive the public with false or expired patent markings on their products.

Pequignot was claiming $500 per violation, and considering the vast number of Solo lids in existence--21,757,893,672 (you may even be slobbering all over one right now)--the fines would have produced an award for the United States of $5.4 trillion—enough to pay 42% of the national debt. Where Solo would have gotten its hands on this kind of cash is anyone's guess. What Pequignot would have done with his trillions is also unknown. He could have purchased several muncipalities, or even a few states, and started his own patent-ocracy.

The court found that Pequignot failed to prove that Solo intended to deceive the public with its expired patent mark. Intent can be very difficult to prove in lawsuits generally, and it doesn't help that a lot of products are stamped with expired patents simply because the manufacturer is too lazy or cheap to change the molds or machining.

In Solo's case, it appears that the company did not change its molds based on cost-saving. A Solo cup mold produces a lid every four to six seconds, and goes on doing this for 20 years or more. Based on advice from an attorney, Solo instituted a policy whereby replacement molds would not include the expired patent number. However, the molds were only to be replaced when the old mold became damaged or wore out. This helps to explain why there were/are so many Solo lids floating around out there with the expired patent marking.

The general consensus is that the U.S. Court of Appeals for the Federal Circuit's ruling will put a damper on future suits aimed at getting big money for false marking. But with the number of old molds constantly stamping away out there, we'll see.

Tagged as: government, qui tam No Comments

23Jun/100

Foot Dragging on the Gulf Spill

This post was written by Josh

It remains to be seen whether the Gulf oil spill will become Obama's Katrina. A recent New York Times/CBS News poll indicates that at the very least, some people believe that Obama is not doing enough to fix things in the Gulf. The poll found that 59% of respondents do not believe that the President has a clear plan for cleaning up the spill. In addition, the majority of respondents believe that more regulation of offshore drilling is needed. Interestingly, at the same time, the majority of those polled also indicated that they believed that the accident was a result of a failure on the part of the federal government to enforce regulations rather than inadequate regulation.

Criticism continues to be heaped on the federal agency responsible for ''regulating'' off-shore drilling, the Minerals Management Service (MMS), and rightly so. A new report, also in the New York Times, finds yet another maddening instance of MMS' appalling failure to fulfill its mandate. A device known as a blind shear ram was in place at the Deepwater Horizon well, and was supposed to be the last line of defense in preventing a blow-out. Of course, it failed. What is particularly infuriating is that MMS ignored its own experts as to how the risk of blind shear ram failure could be minimized.

There have been some major changes at MMS, so hopefully it won't be business as usual once the country forgets about off-shore drilling again. The new director of MMS is Michael R. Bromwich, who used to be an inspector general over at DOJ (the same guys will intervene in your qui tam case, if you're lucky!). The new agency will have a quick-response, SWAT team-like unit that will supposedly be able to respond with alacrity to allegations of crooked officials or misbehaving companies. The new investigative unit will have its work cut out for it. The old MMS could not be described by any stretch of the imagination as ''ethical.'' Doing crystal meth and then going out to do inspections? Why not? Going huntin' and fishin with on the oil company's dime? Yup. Inspecting drilling platforms of the oil company with which you're simultaneously negotiating for a job? Why the heck not? (Don't forget the crystal meth!).

This is all to say that the level of corruption in this agency is absurdly hilarious, and it will likely be very difficult both to root it out and prevent it from re-occurring, fungus-like, in the future.

Tagged as: government, Mining, Natural resources, qui tam No Comments

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