1 United States Commercial Law Seminar Masaryk University April 11-21, 2011 Lecture Six: Internal investigations, Special Committees, and directorduties.

Slides:



Advertisements
Similar presentations
Physicians Regulatory Insurance Program Presenter: Jay Lynch President Presenter: Jay Lynch President.
Advertisements

Stark Enforcement By Robert G. Homchick.
A Word of Caution These materials are presented with the understanding that the information provided is not legal advice. Due to the rapidly changing.
Our Goals Today To help you feel comfortable with asking questions.
North Carolina False Claims Act (WEBCAST) Presented by: The North Carolina Bar Association Tuesday, November 27, :00PM – 1:30PM.
What Every Physician Needs To Know About Fraud And Abuse Laws (But Is Afraid To Ask) Steven H. Cohen Cohen Law Group an affiliate of the Whistleblower.
© 2009 Cengage Learning. All Rights Reserved. Healthcare Fraud and Abuse.
CRITICAL DECISION POINTS IN FALSE CLAIMS ACT LITIGATION Roger S. Goldman Matthew R. Lewis Latham & Watkins Washington, DC Michael Kendall McDermott, Will.
Fraud in the Pharmaceutical Industry
© 2007 Prentice Hall, Business Law, sixth edition, Henry R. Cheeseman Chapter 3 Litigation and Alternative Dispute Resolution Chapter 3 Litigation and.
The False Claims Act and Its Impact on Federally Sponsored Research Jeff M. Seo J.D., LL.M. Director of Research Compliance Harvard Medical School.
1 PsychRights' Medicaid Fraud Initiative Against Psychiatric Drugging of Children & Youth James B. (Jim) Gottstein, Esq. Law Project for Psychiatric Rights.
Prof. Washington Civ. Pro. Spr. 06 PLEADINGS. PLEADINGS The pleading stage of litigation involves the complaint, the answer and pre-answer motions The.
2011 FRAUD & ABUSE UPDATE John Hellow Hooper, Lundy & Bookman, PC All views expressed in the seminar materials and.
P A R T P A R T Foundations of American Law The Nature of Law The Resolution of Private Disputes Business and The Constitution Business Ethics, Corporate.
False Claims in Construction, Update of NCHRP Study Topic
Pretrial Matters: Pleadings & Motions © Professor Mathis-Rutledge.
Sales & Marketing Compliance Training
The United States False Claims Act Qui Tam Whistleblower Law Getnick & Getnick LLP | Counsellors At Law Rockefeller Center, 620 Fifth Avenue | New York,
FCA* for BEGINNERS *NEVADA FALSE CLAIMS ACT NRS et seq. L. TIMOTHY TERRY The Terry Law Firm, Ltd
1 Pennoni Associates, Inc. False Claims Act Investigation.
April 26–28, 2004 Renaissance Orlando Resort at Seaworld Orlando, FL NCMA World Congress 2004 “Maximizing Value to Stakeholders…Contract Management in.
Regulatory Control of Providers Financial Relationships Civil False Claims The Act.
American Tort Law Carolyn McAllaster Clinical Professor of Law Duke University School of Law.
School of Government The University of North Carolina at Chapel Hill© 2004 Attorney Fees in Civil Cases Mark Weidemaier District Court Judges Fall Conference.
United States ex rel. Cheryl Eckard v. GlaxoSmithKline Safeguarding cGMP Compliance for Patients and the Public Lesley Ann Skillen, Getnick & Getnick LLP.
© 2005 Dechert LLP CLASS ACTIONS IN THE UNITED STATES: OVERVIEW AND RECENT DEVELOPMENTS For Presentation at the British Institute of Comparative Law June.
Fraud, Waste & Abuse DEFICIT REDUCTION ACT OF 2005 Presented by: MARCH Vision Care, 2013.
DIVISION OF HEALTH SCIENCES OFFICE OF INSTITUTIONAL INTEGRITY Protecting Yourself and Your Practice.
© 2004 West Legal Studies in Business A Division of Thomson Learning 1 Chapter 52 Liability of Accountants and Other Professionals Chapter 52 Liability.
THE NEW PARADIGM OF PUBLIC-PRIVATE PARTNERSHIPS: THE NEW YORK MODEL © 2011 Getnick & Getnick LLP November 2011 Getnick & Getnick LLP | Counsellors At Law.
Federal False Claims Act and Qui Tam Actions Law Journal Press Webinar By: Joel M. Androphy, Sarah Frazier & Rachel Grier Berg & Androphy1.
Violations of the False Claims Act and The Importance of a Timely and Proper Response to Whistleblower Allegations Thomas J. Finn Paula Cruz Cedillo.
*All views contained in this presentation reflect the personal views of the presenter only. They do not necessarily reflect the views or position of Mylan.
KEEPING IT LEGAL James A. Calderwood, Attorney Zuckert, Scoutt & Rasenberger, LLP (o)
False Claims Act and Whistleblower Protections False Claims Act and Whistleblower Protections Genetic Disease Screening Program Employee Education and.
Recent False Claims Developments Robert J. Sherry K&L Gates May 2009.
Copyright© 2011 WeComply, Inc. All rights reserved. 9/6/2015 Whistleblowing.
© 2010 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part.
COMPLIANCE PROGRAM. Agenda  Initial Scenarios  Review of General Compliance Information  Review UCP’s Compliance Program  Questions and Discussion.
False Claims Act in Brief Taxpayers Against Fraud.
Sales and Marketing in the Pharmaceutical Industry: At the Vortex of the Perfect Legal Storm Paul E. Kalb, M.D., J.D. Princeton, N.J. - June 7, 2004.
Deficit Reduction Act of 2005 Signed into law February 8, 2006.
1 VIEW ON FRAUD AND ABUSE David E. Matyas Epstein Becker & Green Washington, DC.
September 2015 Medicaid Fraud False Claims Act Sunset Review Legislative Auditor’s Conclusion: The Legislature should reauthorize the Medicaid Fraud False.
Overview of Civil Judicial Enforcement. Civil Judicial Enforcement  Who may file civil judicial environmental enforcement actions in U.S.? Federal Government.
Civil Law Criminal Law Procedural Law Substantive Law Business Law
Mon. Nov. 26. Work Product “Privilege” A witness, X, who is friendly to the D was interviewed by P’s attorney and a statement was drawn up Is there any.
1 National Pharma Audioconference: Pharmaceutical Drug Pricing and Reporting Issues Overview of Department of Justice Prosecution of Drug Pricing and Reporting.
THE SECOND ANNUAL FDA REGULATORY AND COMPLIANCE SYMPOSIUM THOMAS M. GREENE Greene & Hoffman August 25, 2006 LESSONS FROM WHISTLE-BLOWER CASES.
WorldCom This fraud occurred in a major public company and went undetected for 3-4 years. How could this occur? Why did this occur? Was Betty Vinson a.
ILLINOIS ATTORNEY GENERAL’S OFFICE HEALTH CARE BUREAU.
Unit 2 Chapter 5 Legal Environments of Business (LEB)
National Medical Device Audioconference: How the Recent Landmark $311 Million Device Settlements Will Change Industry Practices Insights Into Federal Investigations.
Welcome General Compliance Training.  To inform you who to contact to ask questions  To let you know that you are responsible to disclose  To share.
December 2015 Medicaid Fraud False Claims Act Sunset Review Legislative Auditor’s Conclusion: The Legislature should reauthorize the Medicaid Fraud False.
Civil Law Civil Law – is also considered private law as it is between individuals. It may also be called “Tort” Law, as a tort is a wrong committed against.
Arete-Zoe: DOJ False Claims Act statistics
Toll Free (800) Contact Information A NATIONWIDE LEADER IN SUCCESSFUL QUI TAM CASES WARREN | BENSON LAW GROUP has prosecuted Qui Tam cases in more.
PANELISTS ROB FISHER BRIAN MACDONOUGH MIKE BIRCH, MODERATOR Representing Clients Before the MCAD in Employment Discrimination Cases.
US Securities Class Actions: Business Risks and Litigation Strategies Marc J. GottridgeMichael M. Yi Lovells Yi Cho & Brunstein, LLC New York OfficeNew.
Thomas J. Finn Paula Cruz Cedillo
Trends: Two Months & Four Settlements That Have Changed Our World
FCA Enforcement: United States Department of Justice
Northern Michigan Regional Entity Region 2
COMPLIANCE PROGRAM.
Bell Work Questions Where does the name “nor`easter” come from?
Introduction to Qui Tam Litigation
Mandatory Subcontractor Flow-Downs and Mandatory Disclosures:
PsychRights' Medicaid Fraud Initiative Against Psychiatric Drugging of Children & Youth James B. (Jim) Gottstein, Esq. Law Project for Psychiatric Rights.
Presentation transcript:

1 United States Commercial Law Seminar Masaryk University April 11-21, 2011 Lecture Six: Internal investigations, Special Committees, and directorduties to investigate and disclose possible wrongdoing: a case study Joseph D. Lee Munger, Tolles & Olson LLP

2 Readings 1.A hypothetical factual scenario to be drafted 2.Larry D. Lahman, "Bad Mules: A Primer on the Federal False Claims Act", 76 Okla. B. J. 901, 901 (2005) 3. htm

3 False Claims Act  Civil War era statute  Penalizes submitting false statements (claims) to the U.S. government To obtain more money from the government than it owes To reduce the amount owed to the government  Claim must be “knowingly” submitted to violate the FCA  FCA contains both civil and criminal penalties

4 False Claims Act Procedure  Filed by a “relator” – a private citizen – on behalf of the government  Pre-suit “disclosure statement”  Case filed initially under seal Government (DOJ Civil Division) reviews case Decides whether to intervene “Original source” requirement  Relator receives a percentage of the recovery 15-25% if government intervenes 25-30% if government does not intervene  Potential recovery Penalties per false claim ($11,000) Treble damages  Attorney’s fees recoverable

5 Largest False Claims Act Cases 1. Pfizer 1,000,000,000 Sep Tenet Healthcare 900,000,000 Jul HCA731,400,000 Dec Merck 650,000,000 Jan HCA 631,000,000 Jun GlaxoSmithKline 600,000,000 Oct Serono Group 567,000,000 Oct TAP Pharmaceuticals 559,483,560 Oct NY State and NYC 540,000,000 July Astra Zeneca 520,000,000April-10

6 HCA Case  $731,000,000 recovered (via settlement)  Alleged frauds Billing for lab tests that were not ordered by physicians “Upcoding” medical problems to get higher reimbursements Billing for advertising (called “community education”) Billing for non-reimbursable costs

7 U.S. ex rel Robinson & Patterson v. Northrop  Qui tam relators Walter Robinson Erma Patterson  Alleged fraud in multiple programs 747 (Air Force One) F/A-18 Other programs  F/A-18 allegations – tubing Skipping required tests and inspections – false certifications Falsifying test and inspection results

8 Jet Fighter Video

9 How the Case was Won  Prominent plaintiffs’ counsel History of suing Northrop “NDSI” cases  Depositions of the Plaintiffs  Summary judgment motion No material disputed facts Northrop entitled to judgment as matter of law

10 Here we go again  Joe’s Bike Co. sold 10,000 bikes to U.S. government  Bikes included certification that they were 100% carbon fiber  In fact, 2,000 of the bikes were made in China and included aluminum  The JBC employee (Xander Dumass) who signed the certification knew about the aluminum  25 different invoices included Chinese bikes

11 Potential False Claims Act Exposure  2,000 bikes x $5,000 = $10 million Trebled = $30 million  Penalties of $11,000 x 25 invoices = $275,000  Total exposure: $30,275,000 Plus attorneys’ fees to the Relator’s counsel

12 Qui Tam Lawsuit  In February 2011, JBC discloses the China bike issue in an SEC filing  In March 2011, a JBC employee (Jane Turncoat) files a qui tam lawsuit against JBC  Government declines to intervene  Turncoat is a poor performer who was going to be fired  Turncoat alleges that she was punished (poor reviews) for reporting false claims internally  Turncoat settlement demand: $12 million to government Attorneys’ fees $1 million for retaliation plus promotion  Anticipated defense costs: $2 million

13 Questions for the Board 1. Should we fight the case or attempt to settle? 2. If we attempt to settle, what should we counter-offer as to: a. $12 million demand (false claims) b. $1 million demand (retaliation) c. Promotion demand (retaliation) 3. What other terms should we propose in settlement? 4. What should we do to improve our internal controls for sales to government?

14 The Rule of Law “For 500 years the West patented six killer applications that set it apart. The first to download them was Japan. Over the last century, one Asian country after another has downloaded these killer apps—competition, modern science, the rule of law and private property rights, modern medicine, the consumer society and the work ethic. Those six things are the secret sauce of Western civilization.” Harvard historian Niall Ferguson Civilization: The West and the Rest