With experience in legislative and regulatory lobbying, business development, and law, Martin Milita serves as senior director at Duane Morris Government Strategies, LLC. In this position, Martin Milita has investigated matters related to fracking, environmental permits, and Medicaid fraud throughout the state.
Jointly funded by the U.S. Department of Health and Human Services’ Office of Inspector General and by their home states, Medicaid Fraud Control Units prosecute people who violate the Medicaid system. They investigate claims of patient abuse and neglect in healthcare facilities, violations of the Civil False Claims Act that impact Medicaid, and fraud against any part of the Medicaid system. First established in 1977, these organizations consist of lawyers, investigators, and legislators who understand the Medicaid system. Currently, 49 states and the District of Columbia all have their own Medicaid Fraud Control Unit.
Pharmaceutical manufacturers remain a key area of focus for Medicaid Fraud Control Units. Over 60% of the civil settlements and judgments they obtained throughout FY 2013 came from investigations of actions committed by these companies. The same year saw the largest criminal recovery in the program’s history following an investigation into a pharmaceutical manufacturer. Among the conglomerate’s illicit actions were illegal marketing, false statements about safety, and illegal payments made to healthcare practitioners.