![]() ![]() Sightline Health LLC operates radiation therapy centers throughout the United States. Result: Settled in 2018 for $11,800,000 with corporate defendants and one individual defendant in ongoing litigation with remaining defendantsĬourt: United States District Court for the Northern District of Texas Our case was the second of three kickback qui tams filed against Miraca, and Miraca reached a global settlement in 2019 for $63,500,000. The kickbacks took the form of, among other things, free or below-fair-market-value training and consulting on software developed by Miraca’s business partner. Our client, a business entity with both insider and competitor knowledge, alleged that Miraca exploited these programs to impermissibly secure referrals of government healthcare business by offering inducements to physician practices. The federal government has in recent years developed a variety of incentive programs whereby healthcare providers receive payments for meeting certain quality metrics and criteria regarding the use of software for electronic health records. Those labs receive tissue or fluid samples from physicians, analyze the samples for disease, and report the results back to the doctor. Miraca is a nationwide provider of clinical pathology laboratory services that has pathology labs around the country. Morgan Verkamp’s press release concerning the settlement can be read here, and the government’s press release can be found here.Ĭourt: United States District Court for the Middle District of Tennessee The settlement agreement can be found here. Wallace’s allegations, the case settled for $16,000,000. Christopher Wallace (a former pathologist at Inform), alleged that Inform submitted false claims to federal healthcare programs, like Medicare, for medically unnecessary laboratory testing by automatically and systematically running additional tests, including special stains, without a treating physician’s knowledge, consent, or order and without a pathologist’s determination of medical necessity. Inform Diagnostics, Inc., formerly known as Miraca Life Sciences, Inc., is a nationwide provider of clinical pathology laboratory services that has pathology labs around the country. Inform Diagnostics,Ĭourt: United States District Court for the District of Massachusetts Morgan Verkamp’s press release concerning the verdict can be read here, and the government’s press release can be found here. Fesenmaier, supported the government’s investigation and litigated the case (through presentation of a seven-week jury trial) as co-counsel with the United States. Fesenmaier filed his complaint in November 2013, and after the government investigated his allegations, the United States intervened in the case in February 2018. Our client, Kipp Fesenmaier (who is a former employee of Sightpath Medical, a company that worked with Precision Lens and Ehlen to provide kickbacks), alleged that the defendants caused the submission of false claims to the Medicare program by providing kickbacks (such as lavish trips, private flights, tickets to sports events and other entertainment, and discounted Delta SkyMiles) to ophthalmologists in order to induce those doctors to use Precision Lens products in cataract surgeries reimbursed by Medicare. Result: Jury verdict finding single damages of $43,694,641Ĭourt: United States District Court for the District of MinnesotaĪ federal jury found The Cameron-Ehlen Group d/b/a Precision Lens, a distributor of intraocular lenses and other products used in cataract surgeries, and Paul Ehlen, who was a majority owner of Precision Lens, jointly liable for causing the submission of 64,575 false claims to Medicare, resulting in single damages of $43,694,641. $13,000,000 settlement criminal convictions $434,000,000 settlement criminal convictions $14,900,000 settlement with two defendants in ongoing litigation $11,800,000 settlement with corporate defendants and one individual defendant in ongoing litigation The Cameron-Ehlen Group d/b/a Precision Lens and Paul Ehlen ![]()
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