BOSTON , Oct. 14, 2022 /PRNewswire/ -- The United States settled a False Claims Act case brought Whistleblower Law Collaborative LLC, client against DermaTran Health Solutions, LLC, a compounding pharmacy based in Rome, Georgia, its parent State Mutual Insurance Company, President Delos Yancey, and other defendants. Under the agreement, Defendants paid over $6.87 million to resolve allegations that they defrauded government payers in a scheme to sell compounded drugs.
State Mutual Insurance Company hired our client to provide accounting services for DermaTran. She repeatedly expressed concerns about the practices she witnessed. However, in 2017, after being repeatedly ignored by her employers, she approached our firm seeking assistance in reporting the alleged fraud.
As alleged in our Complaint, Yancey caused State Mutual Insurance subsidiaries to bankroll DermaTran, to sell "compounded" pain creams. These are often very expensive drugs created by a pharmacy rather than drug manufacturer.
Pharmacy Insurance Administrators, LLC, a subsidiary of Insurance Administrative Solutions, LLC; which was a subsidiary of Gulfcoast Administrators, LLC; which was majority-owned by Life & Health Holdings, Inc.; which was a subsidiary of State Mutual Insurance Company, was created to handle the billing.
Government-backed health insurance programs such as TRICARE often reimbursed thousands of dollars for these prescriptions, but required pharmacies charge them no more than what they...
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