Saturday, May 12, 2012

Abbott Labratories to Pay $1 Billion Over Misbranding Drug

Abbott Laboratories has pleaded guilty and agreed to pay $1.6 billion to resolve its criminal and civil liability arising from the company's unlawful promotion of the prescription drug Depakote, the U.S. Justice Department said Monday.

Acting Associate Attorney General Tony West said it was case of Abbott putting "profits ahead of patients."

The total includes a criminal fine of $700 million and civil settlements with the states and federal government totaling $800 million. Abbott pleaded guilty to a criminal misdemeanor for misbranding Depakote.

Separate from the DOJ settlement, Abbott agreed to pay 45 states a total of $100 million to resolve liability under the state consumer-protection laws.

That makes this the second-largest fraud settlement involving a drug company, behind only the $2.3 billion Pfizer settlement in 2010. It is the third-largest fraud settlement against the government in any field.

Abbott pleaded guilty to misbranding Depakote by promoting the drug to control agitation and aggression in patients with elderly dementia and to treat schizophrenia when neither use was approved by the Food and Drug Administration, the Justice Department said.

Abbott will be subject to court-supervised probation and reporting obligations for Abbott's CEO and board of directors.

Full Article and Source:
Abbot Labratories to Pay $1 Billion Over Misbranding Drug

Former Judge Tammy Bass-LeSure Ordered to Pay Nearly $70K

Former Oklahoma County District Judge Tammy Bass-LeSure and her husband were ordered Thursday to repay nearly $70,000 plus interest to the state in an adoption fraud case.

"A person who had a high position of authority should be held to a higher standard," Garfield County District Judge Paul K. Woodward, who heard the case, told the couple.

Bass-LeSure, 44, pleaded guilty March 2 to two felony counts of obtaining public assistance by false representation. Her husband, Karlos Bass-LeSure, 48, pleaded guilty to one felony count of obtaining public assistance by false representation and one felony count of attempting to obtain public assistance.

They were accused of secretly giving twin babies to Ravonda L. Edwards, the sister of the judge's bailiff, after becoming the twins' foster parents. The couple became foster parents for the twins in 2008 and adopted them in 2010.

Edwards, 42, faces six felony counts in the case. She is due back in court June 1.

Defense attorneys argued during Thursday's restitution hearing that the couple did not owe any restitution because their children were entitled to money from adoption subsidies and foster care payments.

Full Article and Source:
Court Orders Former Oklahoma County District Judge Tammy Bass La-sure to Pay Nearly $70,000

See Also:
Oaklahoma County Judge Faces More Accusations

Court Orders Hearing on 'Charity' Nursing Home Operator

This one's mostly for legal wonks. But the Arkansas Court of Appeals ordered a further hearing today [5/2] on whether a nonprofit nursing home operator, Arkansas Elder Outreach, was truly a charity or just an artifice to maximize profit for investors that avoids expensive liability insurance and funnels profits to a related management corporation. The question arises in a case over alleged negligence in care of a patient in a Crittenden County nursing home.

Source:
Court Orders Hearing on "Charity" Nursing Home Operator

Friday, May 11, 2012

Jambed Gears of Justice in Ct Probate Case Over Farm

There are few more frightening glimpses of probate court gone wrong than the story told in a new memo from the chief disciplinary counsel for the state committee that investigates complaints about lawyers.

An elderly, dying woman's valuable estate is hijacked and her will violated in what seems like a nightmare that just couldn't happen. Except that it did, just a few years ago, to an old Polish woman in Southington. It could happen to you.

I've been telling you about Josephine Smoron's probate debacle for years because Sam Manzo, the caretaker who was supposed to inherit the broken-down old farm off I-84, was so audaciously pick pocketed in full view of our probate courts. I'm still writing about this because an outrageous injustice still has yet to be remedied.

The Statewide Grievance Committee, which hears complaints about the more than 35,000 lawyers in Connecticut, is still considering what action to take against John Nugent, the lawyer appointed as Smoron's conservator. Superior and probate courts, meanwhile, have yet to sort out the shell game that snatched the farm from Smoron.

Nugent, who could lose his license to practice law, is still fighting efforts to resolve the case. In his responding memo to the grievance committee, Nugent's lawyer said his client "due to the fault of no one ... did not have complete and accurate information" and was never told that Manzo stood to inherit the farm.

During one hearing, Nugent was "distracted" and "simply did not hear" when told that Manzo had an interest in the property, the lawyer, James Sullivan, writes in his brief.

"He is hard of hearing and has been for many years because of his military service,'' said Sullivan, who adds that "there is no evidence of any financial benefit to Nugent ... he simply was not paying attention." Sullivan also writes that Manzo, who had been conservator to Smoron but was removed, "had left her financial affairs in a mess."

Meanwhile, the Smoron farm remains mired in the lawsuits stemming from Nugent's ill-fated conservatorship.

Manzo, broke and still the old farm's caretaker, hasn't inherited the property Josephine Smoron long sought to give him. This probate morality tale still stinks, which tells us plenty about a probate court system that politicians and judges often say has been reformed and brought into the 21st Century.

What's amazing – and most worrisome – about this case is that despite two lawyers looking out for Smoron's interests and a judge overseeing the matter, the old lady's will was ignored in routine, shuffle-the-papers fashion. This poor old woman had a court-appointed lawyer, a court-appointed conservator, and a judge who were all supposed to be in her corner.

Full Article and Source:
Can Damning Memo Finally Unjamb Gears of Justice in Probate Case Over Farm?

TX Family Blames Nursing Home Neglect for Mother's Death

Consepcion De La Garza was not your average 94-year-old. "I always telling my mom, you gonna live to be 100, mom, maybe more," said Luis Fonseca, her son. The De La Garza family says cell phone video taken in their mother's final days shows her rapid decline. "Apparently they didn't care or apparently they weren't doing their jobs."

Just a few months after moving into Buena Vida nursing home in San Antonio she died. "My mom would always complain her back hurts, her back hurts and I thought maybe it was something else," said Fonseca. Now, the family says they know why. De La Garza's certificate of death lists a cause as sepsis. The severe illness develops when the bloodstream is overwhelmed by bacteria, often from bedsores. "When we were at Southeast Baptist and they brought us in and finally let us see the sore we were amazed, we were in shock," said Debbie Jo Fonseca, her granddaughter. "It was actually bone that was being exposed."

For the De La Garzas, the problems don't stop there. "They told me they were not bathing her, they found mold under her breast," said Luis Fonseca. "I noticed she wasn't eating like she was supposed to and I would sometimes feed her because sometimes they would just leave the tray there," said Gloria Woytasczyk, her daughter. "I was down the hall with my son and I could hear someone screaming," said Debbie Jo. De La Garza's granddaughter says she filed a complaint after seeing a Buena Vida employee's attempt to multi-task. "She was like on a cell phone trying to maneuver my grandmother... she just kinda said I'm changing her, I said no you are mishandling her, your treating her like she's just a ragdoll."

Full Article and Source:
Family Blames Nursing Home Neglect for Mother's Death

Discovering the True Cost of At-Home Caregiving

Walk through any nursing home, and your first thought might be: "I need to take care of Mom myself."

Few people want to turn over a loved one to institutional care. No matter how good the nursing home, it may seem cold and impersonal — and very expensive. But making the choice to provide care yourself is fraught with financial risks and personal sacrifices.

Those who become full-time caregivers often look back and wish they had taken the time to better understand the financial position they would be getting themselves into.

"I used to hear about people saying, 'Oh you know, we've got to put our parents in a home; we can't deal with it anymore,' " said Yolanda Hunter, 43, a Maryland resident who is struggling with her decision to drop out of the human resources field to become a full-time caregiver for her grandmother. "And I used to think: 'Oh, how cruel are you?'

"You know, but now? I understand," she said.

Hunter belongs to one of three families being profiled in NPR's eight-week series, Family Matters: The Money Squeeze, which airs each Tuesday on Morning Edition. Each family is struggling with how to afford care for an older generation. The do-it-yourself approach is both common and costly.

Caregiver advocacy groups say Congress needs to be doing more with tax credits and Social Security benefits to help financially support those who choose to care for the elderly.

Full Article and Source:
the True Cost of At-Home Caregiving

Thursday, May 10, 2012

NY: Cuomo Seeking New Agency to Police Care of Disabled

Gov. Andrew M. Cuomo, seeking to strengthen the state’s chronically weak response to abuse of disabled people who live in publicly financed homes, plans this week to propose creating an agency dedicated to investigating problems with the care of nearly one million vulnerable New Yorkers.

The new law enforcement and oversight agency would monitor those in state or private care who have developmental disabilities like autism or cerebral palsy, mental illnesses including schizophrenia, and other conditions, among them traumatic brain injuries, that put them at risk. The agency would employ a special prosecutor and would be granted subpoena power and the authority to convene grand juries, according to a draft plan obtained by The New York Times.

The administration is also proposing tougher laws to punish those who abuse people with developmental or other cognitive disabilities. And Mr. Cuomo would, for the first time, expand the reach of the state’s Freedom of Information Law by requiring the thousands of nonprofit organizations that house the bulk of those in state care to make abuse and neglect records public.

“I think it raises the bar significantly on the degree to which states address the issue of abuse and neglect across all disabled populations,” said Nancy Thaler, the executive director of a national association of state agencies that serve developmentally disabled people. Ms. Thaler, who was briefed on the plan, called it “unprecedented in breadth and scope.”

Full Article and Source:
Cuomo Seeking New Agency to Police Care of Disabled

$450mil Medicare Fraud Scheme Takedown

Four Houston ambulance operators accused of making phony trips to a mental health clinic were among 107 people nationwide charged Wednesday in attempts to bilk taxpayers out of $450 million in bogus Medicare claims in the largest health care fraud crackdown in U.S. history.

The arrests, along with those of two home health care operators, were made by investigators with the U.S. Department of Health and Human Services' Office of Inspector General and FBI agents. The nine people indicted in Houston accounted for more than $16 million in fraudulent Medicare claims.

The charges against four Houston EMS operators - who are accused of ferrying able-bodied patients to mental health clinics and disguising the trips as patient transports to a hospital - are the first since a Houston Chronicle investigation last year documented that the two industries appeared to be working in concert to fuel billing spikes for the nation's largest insurer of the elderly and mentally disabled.

Full Article and Source:
Largest Medicare Fraud Takedown Includes 4 EMS, 2 Home Health Care Operators

Missouri Elder Abuse Bill

Legislation adding financial exploitation to crimes covered by Missouri's elder abuse law is ready for debate in the House.

The bill would make it a crime for certain people in authority to take advantage of an elderly person's state of mind for financial gain. The provision would apply to people who have guardianship, power of attorney or some other financial management role for seniors.

If money stolen from an elderly person had been meant for nursing home expenses, a judge could order the money sent to the home.

The bill was sent to the House after clearing committee review. The Senate has already approved the measure.

Elder abuse bill is SB689.

Source:
MO House to Weigh Expansion of Elder Abuse Law