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Antitrust
Fraud
False Claims Act

U.S. v. Saint John's Health Center

Published: Oct. 9, 2010 | Result Date: Aug. 25, 2010 | Filing Date: Jan. 1, 1900 |

Settlement –  $5,250,000

Court

USDC Central


Attorneys

Plaintiff

Cathy J. Ostiller

Linda A. Kontos
(Office of the US Attorney)


Defendant

Patrick Hooper
(Hooper, Lundy & Bookman PC)


Facts

The U.S. Attorney's office began an investigation into Saint John's Health Center of Santa Monica in 2006.

Contentions

PLAINTIFF'S CONTENTIONS:
The government alleged that Saint John's submitted false claims for Medicare outlier payments to the Medicare Program. Outlier payments are intended to compensate health care providers for providing extraordinarily costly care to patients. The government alleged that, by increasing its charges for inpatient medical care far in excess of any increase in the costs associated with that care, St. John's was able to obtain outlier payments it was not entitled to receive.

DEFENDANT'S CONTENTIONS:
Saint John's denied any wrongdoing.

Result

The parties reached a settlement for $5.25 million.


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