At a Glance
- Represented a private equity-owned healthcare software and EHR company in an FCA and Anti-Kickback Statute (AKS) investigation conducted by the U.S. Attorney’s Office in Vermont and U.S. Department of Justice Civil Frauds.
- Secured a district court dismissal of FCA and state law claims against a company that provides services to the home health industry.
- Won a summary judgment for a Fortune 200 health care provider in an FCA case alleging more than $100 billion in liability.
- Successfully resolved a civil FCA investigation involving allegations of unlawful billing of services for a leading dental services organization with a no-admission settlement and no CIA.
- Filed amicus briefs on behalf of multiple companies to represent their interests and express their point of view in the United States Supreme Court in connection with FCA cases, providing the Court with the benefit of Ropes & Gray’s extensive experience and industry knowledge.
- Prevailed on behalf of a global pharmaceutical company in a long-running FCA case—appealed to the 9th Circuit after a successful motion to dismiss—which raised novel First Amendment issues involving claims of off-label promotion.
- Represented a private equity company in a multiyear investigation by the U.S. Attorney’s Office for the Middle District of Florida and in a related qui tam lawsuit relating to alleged FCA violations.
- Represented a global health and community care technology company in FCA litigation, alleging fraudulent upcoding of Medicare claims. The case was dismissed by the district court and appealed to the Sixth Circuit, where the dismissal was affirmed. We then convinced the U.S. Supreme Court to deny certiorari, which had been sought on the perennial pleading question of what is required to satisfy Rule 9(b)’s particularity pleading requirements when alleging a FCA violation.
- “2024 U.S. Health Care Fraud, Waste & Abuse Trends (Part I): Advisory Opinions on Patient Inducements,” R&G Podcast (March 2024)
- “Health Care Operations & Compliance, Professional Perspective – Medicare Advantage Enforcement Trends To Watch in 2024,” Bloomberg Law (January 2024)
- “Insights from OIG’s Strategic Plan for Oversight of Managed Care (Part II),” R&G Podcast (January 2024)
- “Insights from OIG’s Strategic Plan for Oversight of Managed Care (Part I),” R&G Podcast (January 2024)
- “6 Biggest Healthcare Fraud Cases of 2023,” Law360 (December 2023)
- “Hot Topics in Life Sciences Enforcement,” Boston Bar Association Webinar (February 2024)
- “From Prep to Verdict: Trial Advocacy Advice from Trial and Appellate Counsel,” ACI 11th Annual Advanced Forum on False Claims & Qui Tam Enforcement (January 2024)
- “The DOJ’s Civil Cyber Fraud Initiative in Action: The Latest Cross-Industry Trends and How Companies Can Become Compliant,” ACI 11th Annual Advanced Forum on False Claims & Qui Tam Enforcement (January 2024)
- “Data, Privacy & Cybersecurity,” 2nd Annual Ropes & Gray False Claims Act Webinar Series (November 2023)
- “Supreme Court Cases,” 2nd Annual Ropes & Gray False Claims Act Webinar Series (October 2023)
- “Post-Supervalu: The Future of Government Enforcement Around Drug Pricing,” Medicaid Drug Rebate Program Summit in Chicago (September 2023)
A nationally acclaimed practice with significant pedigree in the healthcare, pharmaceutical and life sciences fields, where it represents a number of highly significant players in extremely contentious FCA matters.
Chambers & Partners