Medicaid Price Reporting
Serving Clients Nationwide
The Medicaid Rebate Program depends on pharmaceutical companies’ good faith reporting of the Average Manufacturer Price (AMP), status (Brand Name vs. Generic), and Best Price (lowest transaction price for any private buyer including discounts, coupons, rebates, etc.) of every dosage and strength of every drug they sell. This information, reported to the Center for Medicare/Medicaid Services (CMS), is used to determine the rebates that drug manufacturers are required to pay to Medicaid in order to ensure taxpayers are purchasing prescription drugs at the lowest possible price.
Fraudulent Medicaid Price Reporting Costs Taxpayers
Despite the government’s trust in their honest reporting, pharmaceutical manufacturers have an enormous incentive to falsify this information because this ultimately determines the rebates they owe to Medicaid. Unscrupulous manufacturers use false price and status reporting to defraud Medicaid out of millions of taxpayer dollars, which is outright pharmaceutical fraud.
When pharmaceutical companies use fraudulent Medicaid Price Reporting schemes to save themselves millions of dollars, they are essentially stealing money from taxpayers by defrauding Medicaid. This means that fewer Medicaid dollars are available to help seniors and lower-income families pay for the prescription drugs they need. Whistleblowers who report Medicaid Price Reporting fraud help the government provide these desperately needed drugs to those who need them, and therefore perform a crucial public service.
Becoming a Whistleblower on Medicaid Fraud
If you have knowledge of fraudulent Medicaid Price Reporting by one or more pharmaceutical companies, that knowledge can be used to begin a qui tam whistleblower action. Under the False Claims Act, a whistleblower can, under legal protection from retaliation, sue Medicaid fraud violators on behalf of the federal government and be entitled to a percentage of the amount recovered, which can often reach millions of dollars.
The law firm of Kenney & McCafferty has the experience and dedication to help your qui tam case reach a successful outcome while protecting your rights as a whistleblower and working toward the maximum financial reward. Kenney & McCafferty’s qui tam attorneys have been representing whistleblowers for over fifteen years, and work almost exclusively on qui tam whistleblower cases.
If you have knowledge of a fraud or false claim against the government, please contact our qui tam lawyers today. Kenney & McCafferty attorneys will consult with you about your case, without obligation. All communications with Kenney & McCafferty attorneys during these consultation services are confidential and protected by the attorney-client privilege.