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Posts Tagged ‘False Claims Act’

Unanimous U.S. Supreme Court Reinforces Whistleblower Retaliation Protections

Whistleblower Retaliation Protections Strengthened

Unanimous U.S. Supreme Court Reinforces Whistleblower Retaliation Protections

Whistleblowers who expose fraud have strong protections from employer retaliation based on a unanimous U.S. Supreme Court opinion in Murray v UBS Securities. 

In a unanimous opinion, the justices held that a whistleblower does not have to prove that their employer had “retaliatory intent” in order to avail themselves of the Sarbanes-Oxley Act’s (SOX) protections against...

Private Equity and Healthcare Q&A with Caitlyn Silhan

Caitlyn Silhan Lawyer

Private Equity and Healthcare Q&A with Caitlyn Silhan

A flood of private equity investment is transforming the U.S. healthcare industry. Across the healthcare economy, private equity firms are rapidly acquiring medical practices and healthcare businesses and rolling them up into larger companies.

Private equity firms pool money from investors—typically institutional investors—and use debt to purchase businesses with the goal of...

2022 Healthcare Fraud, False Claims Act Settlements Exceeded $2B

Healthcare Fraud 2022

2022 Healthcare Fraud, False Claims Act Settlements Exceeded $2B

Citizen whistleblowers helped the U.S. Department of Justice (DOJ) resolve a near-record number of False Claims Act investigations in 2022, resulting in more than $2.2 billion in taxpayer funds recovered, according to a recent DOJ report.

“The government and whistleblowers were party to 351 settlements and judgments, the second-highest number of settlements and judgments in a single...

Medical Imaging Company and CEO to Pay Record $85.4M Whistleblower Settlement

Whistleblower Settlement

Medical Imaging Company and CEO to Pay Record $85.4M Whistleblower Settlement

Illinois-based medical imaging company Cardiac Imaging, Inc. and its CEO have agreed to pay an $85.4 million settlement to resolve whistleblower claims that the company paid illegal kickbacks to physicians in a scheme to defraud government programs in violation of the False Claims Act (FCA).

The agreement is the largest single district civil settlement in the history of the U.S....

Private Equity Firms Increasingly Held Responsible for Healthcare Fraud

Private Equity Firms Increasingly Held Responsible for Healthcare Fraud

As private equity firms increasingly pour investment money into home health, nursing homes, mental health centers, and hospices, federal regulators are taking notice. As a result, these profit-driven organizations are increasingly being held responsible for violating statutes like the False Claims Act, as well as SEC regulations.

About 30% to 50% of home health and hospice transactions...

Drug Manufacturer Coupons as Kickbacks to Medicare Beneficiaries

Drug Manufacturer Coupons as Kickbacks to Medicare Beneficiaries

On September 1, 2015, the Department of Justice announced that Kmart resolved a whistleblower’s allegations that it violated the False Claims Act by offering improper inducements to Medicare beneficiaries. The whistleblower in the case, Joshua Leighr, was a pharmacist who worked in various Springfield, MO-area Kmart pharmacies. While there, he witnessed various Kmart schemes intended to...

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