– Humana and Roche Diagnostics will face a $45 million federal kickback lawsuit after a whistleblower filed a False Claims Act violation, which alleges Roche tried to entice Humana financially to secure access to the payer’s business operations.
A federal judge in the Northern District of Illinois has dismissed two motions to appeal a 2014 whistleblower lawsuit, alleging that Humana was ready to terminate a contract with Roche Diagnostics in 2013 that would have effectively removed Roche’s diabetes glucose monitoring products from Humana formularies.
A whistleblower by the name of Crystal Derrick informed federal agencies that Roche Diagnostics overpaid Humana $45 million in drug rebates. Derrick’s testimony also suggested that Roche Diagnostics offered to accept a $27.5 million of the $45 million and would allow Humana to keep the remainder. She believes Roche used the additional payment in order to remain in Humana’s good graces and on the payer’s device formulary.Read more here.