Multimillion-Dollar Insurance Fraud Lawsuit against
Johnson & Johnson Announced in California CALABASAS, CA JUNE 24, 2015Delaney Kester LLP announces that it is bringing a multimillion-dollar insurance fraud lawsuit against Johnson & Johnson and its subsidiary Acclarent, Inc. in Los Angeles Superior Court. The lawsuit seeks damages in connection with the MicroFlow Spacer, a medical device marketed by Johnson & Johnson and Acclarent to treat sinusitis. The whistleblower complaint which is brought under California Insurance Code 1871.7 by a former employee of Johnson & Johnson and Acclarent alleges that the MicroFlow Spacer was only on the market because of false statements made to the FDA. As a result, all costs associated with the device were ill-gotten and the Johnson & Johnson and Acclarent caused health insurers to pay claims that would not have been paid otherwise. Johnson & Johnson claims to be the worlds largest medical device manufacturer. In January 2010, Johnson & Johnsons subsidiary Ethicon purchased Menlo Park, CA startup Acclarent for $785 million. Johnson & Johnson continued to sell MicroFlow Spacers until 2013. Two months ago, the U.S. Department of Justice announced an indictment against Acclarents former CEO William Facteau and its Vice President of Sales Patrick Fabian for various counts of conspiracy, wire fraud, and introducing adulterated or misbranded medical devices into interstate commerce. The indictment alleges that Acclarents former executives fraudulently increased company revenues by illegally marketing the MicroFlow Spacer for uses not cleared or approved by the FDA. This increased revenue came at the expense of public and private payors, including health insurance companies. Delaney Kester LLP seeks to obtain compensation for private health
insurers and, by extension, the policyholders whose premiums increase anytime
fraud goes undetected in the healthcare system. California Insurance Code 1871.7 allows interested persons to file complaints targeting fraudulent billing to private insurers. The statute is modeled after the federal False Claims Act (the FCA); but unlike the FCA, which seeks to recover federal funds wrongly paid by programs such as Medicare and Medicaid, Section 1871.7 provides a remedy when private insurers are defrauded. As the California Insurance Code observes, health insurance fraud is a particular problem for all Americans. Although there are no precise figures, it is estimated that healthcare fraud adds billions of dollars every year in unnecessary healthcare costs and higher premiums across the country. The complaint is brought by attorneys of Delaney Kester LLP, including Charles F. Kester of Calabasas, California, and Royston H. Delaney and Ilyas J. Rona of Boston, Massachusetts; and by attorneys of Kellogg, Huber, Hansen, Todd, Evans & Figel, P.L.L.C., including Silvija A. Strikis and Joseph S. Hall of Washington, D.C. The media contacts listed at the top are available for interviews. End
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