Heather M.O'Shea

Practice Leader Health Care & Life Sciences

Chicago + 1.312.269.4009

Heather O'Shea handles civil litigation and regulatory and compliance matters in the pharmaceutical, medical device, biotech, and health care industries. She is a co-leader of the Firm's Health Care & Life Sciences Practice. For more than 20 years she has represented clients in federal and state government investigations and litigation involving fraud and abuse enforcement, including the False Claims Act (FCA), the Anti-Kickback Statute (AKS), Stark Law, and Medicare and Medicaid reimbursement. Heather represents clients on regulatory and compliance matters involving Medicare and Medicaid, fraud and abuse laws, reimbursement regulations, the Physician Payments Sunshine Act (Open Payments), clinical research compliance, and U.S. Food & Drug Administration (FDA) regulations. She has extensive experience conducting internal investigations, handling voluntary disclosures, and counseling clients on refunds to Medicare. Heather also has significant experience advising clients on compliance program development, implementation, and conducting assessments of existing compliance programs.

Heather's representations include defending several institutions being investigated by the National Institutes of Health (NIH) in connection with its focus on foreign influence on research integrity, defending a medical device manufacturer in a successful motion to dismiss an FCA case premised on alleged invalidated unenforceable patents, obtaining dismissal of qui tam actions in Virginia and Georgia federal courts that alleged the submission of false clams due to purported violations of Medicaid billing requirements, and conducting an internal investigation for a manufacturer relating to compliance with AKS in connection with discounting and sales and marketing practices. She also has represented multiple hospitals in FCA cases brought by the Department of Justice (DOJ) where the allegations focused on medical necessity.

Experiencia

  • Medical device company obtains non-prosecution agreement and favorable False Claims Act settlement with SDNYJones Day represented a medical device manufacturer in a criminal and False Claims Act investigation conducted by the Southern District of New York regarding allegations of health care and wire fraud.
  • Academic medical center secures dismissal of False Claims Act allegationJones Day secured a motion to dismiss on behalf an academic medical center, thereby resolving with prejudice all but one count alleging improperly billings of Medicare and Medi-Cal for services in violation of the False Claims Act and California False Claims Act.
  • Medical imaging and information systems provider obtains dismissal of False Claims Act allegationsJones Day represented a medical imaging and information systems provider in connection with a False Claims Act investigation regarding laboratory software.
  • Health care system and research institute successfully resolves national investigationJones Day represented a health care system and its research institute in a national investigation being conducted by the National Institutes of Health ("NIH") as part of its initiative investigating possible foreign influences on U.S. funded and conducted research, including research funded by NIH.
  • Imaging provider negotiates favorable settlementJones Day represented a national diagnostic imaging services provider in connection with a False Claims Act qui tam case alleging that the provider's sales and marketing practices were in violation of the federal Anti-Kickback Statute.
  • Major university hospital system obtains dismissal of False Claims Act allegationsJones Day was engaged on behalf of a major university hospital system in connection with a federal and state False Claims Act case alleging violations of the Anti-kickback Statute and the Stark Law.
  • Academic medical center succeeds in obtaining complete dismissal of qui tam caseJones Day represented a nationally-recognized academic medical center in connection with a filed federal and state qui tam case.
  • Manufacturer conducts internal investigation on discount arrangementsJones Day advised a manufacturer in connection with a comprehensive review of its contracting structure, billing activity, and reporting obligations for a drug analyzing the program under the Anti-Kickback Statute, Best Price regulations, and the Sunshine Act.
  • Leading laboratory services provider successfully resolves lengthy false claims case after obtaining partial summary judgment and multiple administrative victoriesThroughout several years of active litigation, Jones Day represented a laboratory services provider in a case alleging that the laboratory company violated the Florida False Claims Act by (1) failing to bill its "usual and customary charge" under the State's argued interpretation of that term; and (2) offering steep discounts in order to induce referrals in violation of Florida's anti-kickback statutes.
  • Health system resolves False Claims Act qui tam lawsuitJones Day represented a health system in a qui tam action brought by a former physician employee alleging violations of the federal and Indiana False Claims Acts.
  • Manufacturer conducts internal investigation relating to sales and marketing practicesJones Day advised a manufacturer in connection with an internal investigation related to sales and marketing practices, including practices related to nurse educators and field reimbursement specialists.
  • Hospice provider secures dismissal of False Claims Act caseJones Day successfully represented a hospice provider in a Department of Justice Investigation spurred by a qui tam lawsuit brought under the False Claims Act.
  • Atlantic Health System acquires Hackettstown Regional Medical CenterJones Day represented Atlantic Health System in the transfer of ownership of Hackettstown Regional Medical Center from Adventist HealthCare to Atlantic Health System.
  • Abbott purchases option to acquire Cephea Valve TechnologiesJones Day advised Abbott Laboratories in the providing of capital and securing of an option to purchase Cephea Valve Technologies, a private company developing a catheter-based mitral valve replacement therapy.
  • National retail pharmacy obtains dismissal of purported False Claims Act claimsJones Day prevailed on behalf of a national retail pharmacy on motions to dismiss two qui tam suits brought under the federal False Claims Act, Anti-Kickback Statute, and Civil Monetary Penalties Law.
  • Manufacturer of medical equipment obtains dismissal of False Claims Act qui tam action related to patent applicationsA manufacturer of medical equipment represented by Jones Day obtained dismissal of a False Claims Act qui tam action in which the relator alleged that the manufacturer lied on the patent applications for one of its medical products, making the patents invalid and unenforceable.
  • Canaccord Genuity, Cowen and Company, Oppenheimer, BTIG, and Stephens underwrite $65 million IPO by AvingerJones Day advised Canaccord Genuity Inc.; Cowen and Company LLC; Oppenheimer & Co. Inc.; BTIG, LLC; and Stephens Inc., as underwriters, in connection with the $65 million initial public offering by Avinger, Inc., a commercial-stage medical device company that designs, manufactures, and sells image-guided, catheter-based systems that are used by physicians to treat patients with peripheral arterial disease.
  • Fortune 500 life sciences company acquires medical device developerJones Day advised a Fortune 500 life sciences company in its acquisition of a developer of medical devices for approximately $250 million in cash.
  • University conducts internal review of Institutional Review BoardJones Day conducted an internal review and assessment of the policies, procedures and practices of a university's Institutional Review Board (IRB) for human subject research.
  • LabCorp obtains complete dismissal of Virginia qui tam action alleging submission of false claims to MedicaidIn one of the first cases litigated under the Virginia Fraud Against Taxpayers Act, an analog to the federal False Claims Act, Jones Day represented Laboratory Corporation of America (LabCorp), a nationwide provider of health care diagnostic testing services.
    • February 23, 2017
      U.S. Business Outlook in the New Administration Transition in the Legal Trenches: How Trump Appointees Could Shape the Judiciary and Influence Enforcement Priorities
    • December 8, 2016
      The Attorney-Client Privilege and Work Product Doctrine: What In-House Counsel Need To Know
    • September 22, 2016
      Emerging Enforcement Trends and Developments
    • May 14-15, 2015
      2015 Health Care Labor & Employment Symposium
    • May 13, 2014
      Employment Issues and Retaliation Claims: Strategies and Risk Management False Claims Act Institute
    • May 6, 2014
      The Continuing Expansion of Health Care Enforcement by U.S. and International Authorities: Key Developments and Implications for the Future
    • December 11, 2013
      FDLI Enforcement, Litigation and Compliance Conference - Legal Issues Keeping In-house Counsel Up at Night
    • April 9-10, 2013
      Jones Day 2013 Chicago Health Care Conference
    • November 15, 2012
      Latest Trends With The Corporate Whistleblower: What In-House Counsel and Corporate Compliance Officers Should Be Prepared For, North Shore Wine Tasting and CLE
    • March 28, 2012
      Increased Scrutiny on Pharmaceutical and Medical Device R&D Activities: The Impact on Clinical Research Sites
    • March 28, 2012
      Health Care 2012: Issues and Answers for a Complex Industry
    • March 28, 2012
      Healthcare 2012: Issues & Answers For A Complex Industry
    • October 21, 2011
      Stark: Mitigating Risks and Strategies in Response to the Self-Disclosure Protocol, 15th Annual Health Care Compliance Forum
    • October 21, 2011
      Counsel and Executives in the Cross Hairs? 15th Annual Health Care Compliance Forum
    • October 19, 2011
      Trends in Compliance and Government Enforcement, 15th Annual Health Care Compliance Forum
    • March 15, 2011
      Counsel in the Cross Hairs? Lessons Learned From Recent Prosecutions, Health Care Compliance and Enforcement Forum
    • December 2, 2010
      Handling Government Inquiries-Identifying and Managing Risks