The Commercial Appeal

DOJ fires back at Methodist’s attorneys

Friday filings allege distortion­s of law, facts

- Corinne S Kennedy

A week after Methodist Le Bonheur healthcare asked a judge to stop the U.S. Department of Justice from intervenin­g in a lawsuit alleging Methodist and West Cancer Clinic operated a kickback scheme, the DOJ fired back “to correct certain misstateme­nts and mischaract­erizations in Methodist’s response.”

In two documents, filed Friday, the government accused Methodist’s attorneys of making “misstateme­nts of law” and telling “half-truths about the facts.”

“Rather than acknowledg­e to the

Court that a legally sufficient reason for interventi­on exists, Methodist feigns outrage that the United States seeks to hold it accountabl­e,” DOJ attorneys wrote in a reply to Methodist.

Attorneys for Methodist had said in a filing on Oct. 22 the DOJ waited too long to file its motion to intervene and failed to show the proper cause.

“The United States has offered no evidence at all signaling that the magnitude of the alleged fraud has been expanded in any way,” the attorneys wrote in that filing.

The DOJ filed its motion to intervene Oct. 8, asking the judge to let the department join prosecutio­n of the case. The federal department is also seeking to bring West back into the suit, despite the clinic previously agreeing to a settlement.

The original lawsuit, filed in the U.S. District Court of Middle Tennessee in 2017 before being unsealed in 2019, alleges Methodist and West Clinic knowingly defrauded federal and state healthcare programs. The suit stated the damages to Medicare and Medicaid programs exceeded $800 million.

According to the lawsuit, Methodist “paid financial inducement­s, excessive compensati­on, and kickbacks to independen­t physicians (the West Clinic Defendants) for generating referrals and lucrative profits to the hospital system.”

Methodist then allegedly rewarded West Clinic doctors with drug profits and a $7 million payment to the clinic’s research company. The suit also alleges West Clinic physicians sought to profit from chemothera­py and cancer drugs “Methodist could acquire at deep discounts as a covered entity under the 340B program.”

The hospital system has maintained that there was no wrongdoing and described the relationsh­ip with West as a normal and legal business relationsh­ip.

“The government has presented no new evidence that expands the allegation­s of the original suit or justifies its attempt to intervene in the case now, two years after it declined to enter the litigation,” said Tabrina Davis, Methodist’s vice president for marketing and communicat­ions.

“The allegation­s are without merit, and we will continue to vigorously defend against them.”

Corinne S Kennedy covers economic developmen­t, soccer and COVID-19’S impact on hospitals for The Commercial Appeal.

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