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Lauren Papenhausen

Lauren Papenhausen

Partner at White & Case LLP specializing in white-collar defense and healthcare litigation, with expertise in regulatory compliance and government investigations

Jul 6, 2026

5:06
I'll ask you to start out, Lauren, and then Ed, ask you to add on.
5:10
Sure.
5:10
So everything that we're going to talk about today really lives in the shadow of these two statutes that you mentioned, the False Claims Act and the Anti-Kickback Statute.
5:23
So start with the False Claims Act.
5:26
At a very basic level, it says that you cannot knowingly submit a false claim for payment to the federal government.
5:36
In the drug world, what this means is that every time a prescription is filled for a Medicare or Medicaid patient, a claim goes to the government, and the amount that the government pays is driven by pricing data the manufacturer reported.
5:53
Things like average sales price for Part B drugs and average manufacturer price and best price for Medicaid So you have a simple chain.

16 MINS LATER

22:15
So is that, that, is that what's going on?

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