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The pharmaceutical giant Pfizer will pay nearly $60 million to resolve charges that a company it acquired paid kickbacks so that physicians would prescribe a specific migraine drug to patients.
The Anti-Kickback Statute [1] (AKS) is an American federal law prohibiting financial payments or incentives for referring patients or generating federal healthcare business. . The law, codified at 42 U.S. Code § 1320a–7b(b), [2] imposes criminal and, particularly in association with the federal False Claims Act, civil liability on those who knowingly and willfully offer, solicit, receive ...
The first qui tam case under the amended False Claims Act was filed in 1987 by an eye surgeon against an eye clinic and one of its doctors, alleging unnecessary surgeries and other procedures were being performed. [18] The case settled in 1988 for a total of $605,000. However, the law was primarily used in the beginning against defense contractors.
Under federal law, health care fraud in the United States is defined, and made illegal, primarily by the health care fraud statute in 18 U.S.C. § 1347 states [4] (a) Whoever knowingly executes, or attempts to execute, a scheme or artifice—
A judge dismissed Pfizer Inc's challenge to a U.S. anti-kickback law that the drugmaker said prevents it from helping Medicare patients afford two drugs that treat a sometimes fatal heart ...
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For example, in the United States, companies providing medical services to Medicare patients were paying doctors to send patients to them, whether or not the patient needed the treatment, diagnosis, or test. [6] In 1986, the United States Congress passed the stringent Anti-Kickback Enforcement Act to prevent such schemes. [7]
Unlike some insurers, the CMPA offers discretionary medico-legal assistance and follows by-laws dictating how and when it can offer its services. [6] In its Strategic Plan, [7] the CMPA's stated mission is "To protect the professional integrity of physicians and promote safe medical care in Canada." To that end, the CMPA seeks to resolve medico ...