False Claims – Health Care Fraud

In this FCA matter, Brattle experts assisted the U.S. DOJ and private plaintiffs’ counsel in a multi-billion dollar civil fraud suit accusing a pharmaceuticals company of paying illegal kickbacks to specialty pharmacies for recommending the company’s drugs over competing alternatives. We analyzed detailed facts and data to help the trial team determine the extent to which kickbacks defrauded Medicare and Medicaid. Specifically, the Brattle team helped construct a measure of kickbacks from qualitative information on thousands of promotional events captured from different information sources such as individual files from specific events, PDF scans of expense reports, and company data files reporting on events. The team then used code to make unstructured information machine-readable and systematically extract data points into an expense database. We also assisted throughout discovery to identify information and potential witnesses, and to help prepare for witness depositions.