Gibson, Dunn & Crutcher
2017 NLJ Winning Litigator: Richard Doren, Gibson, Dunn & Crutcher
October 02, 2017 at 12:00 AM
2 minute read
Tell us about your biggest trial win from January 2016 to July 2017 and how you achieved the result for your client.
Aetna sued a group of ambulatory surgery centers (ASC) for billing fraud and a related conspiracy. Defendants overcharged Aetna $37.5 million by paying doctors kickbacks for referrals, quoting patients lower prices than they charged Aetna and telling patients who complained they would not be billed personally.
At trial, doctors testified about payments received, which we linked to referral patterns. We compared the ASC's charges to lower charges from world-class hospitals. We proved the ASCs pressured doctors to refer high-priced procedures. And employers and patients testified about the harm caused.
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