In the healthcare industry, corporate misconduct takes forms additional to those seen in connection with securities fraud. From the risks of pharmaceutical manufacturers’ committing antitrust violations, improperly marketing their products, failing to disclose the risks associated with their products or manipulating their drug prices to the difficulty of managing prescription drug benefit plans and relationships with pharmacy benefit managers and third party administrators, the healthcare marketplace is a challenging environment within which to protect your interests. 

Every year, state and local governments, corporations, unions and other organizations that provide and pay for healthcare lose millions if not billions of dollars as a result of fraudulently inflated prescription drug and other health related expenses. The risk to public and private payors of losing substantial sums of money as a result of healthcare fraud is real, and all entities which incur healthcare related costs need to take an active role in protecting themselves.

At Kirby McInerney, we provide the experience and dedication that our clients need to actively protect their interests. By taking legal action against corporations that attempt to profit at the expense of payors by engaging in illegal market manipulation, we help our clients to effectively manage down the financial risks posed to them by the possibility of healthcare fraud. 

In addition to assisting our clients in fighting back against prescription drug price manipulation – possibly the single largest contributor to spiraling Medicaid costs throughout the United States today – we support our clients on numerous other healthcare related issues. We have represented and are currently representing clients in connection with pharmaceutical antitrust litigation, and advise numerous public employee health benefit funds and unions in connection with their prescription drug benefit plans and relationships with pharmacy benefit managers. Working through multiple avenues, we are able to successfully protect our clients’ interests in an increasingly complex, non-transparent and risky market sector.

If you have a legal question pertaining to a possible healthcare fraud or are interested in learning more about our healthcare fraud practice, please contact Joanne Cicala at jcicala@kmllp.com.