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Busted: DOJ Announces $14.6B Health Care Fraud in Historic Takedown

Posted  07/9/25
pills and hundred dollar bills
By the Constantine Cannon Whistleblower Team On June 30, the DOJ announced what prosecutors are calling the "2025 National Health Care Fraud Takedown" and it’s one for the books. The government dismantled a healthcare fraud scheme that involved over 300 defendants and totaled an eye-popping $14.6 billion in alleged false claims. 1

Surpassing Previous Records

This figure towers over prior record-setting fraud...

Tagged in: Healthcare Fraud, Medicare,

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Health Wealth Will Pay $1.29M to Resolve Whistleblower-Initiated False Claims Act Lawsuit

Posted  07/2/25
Medical equipment
By the Constantine Cannon Whistleblower Team Georgia-based Health Wealth Safe, Inc. (Health Wealth) and its owner, Dr. Subodh Agrawal, have agreed to pay $1.29 million to settle allegations that they knowingly caused the submission of false claims to Medicare.

Whistleblower Lawsuit Filed by Former Employee

This lawsuit was brought under the whistleblower or qui tam provisions of the False Claims Act (FCA) by a...

Tagged in: Healthcare Fraud, Medicare, qui tam,

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Brace Yourself: Jury Finds Co-Conspirator Guilty in $1.4B Medicare DME Fraud Scheme

Posted  06/10/25
leg brace
By the Constantine Cannon Whistleblower Team The first week of June is Medicare Fraud Prevention Week, geared toward raising awareness and safeguarding the integrity of a crucial healthcare system on which many Americans rely. While this initiative and this case do not expressly call out to whistleblowers, we are! This recent government enforcement action concerning a Medicare fraud scheme serves as a reminder...

Tagged in: Medical Devices and DME, Medicare,

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Catholic Health Pays Over $3M to Resolve False Claims Act Allegations

Posted  05/28/25
stack of hundred dollar bills
By the Constantine Cannon Whistleblower Team On May 16, U.S. Attorney Michael DiGiacomo announced that Catholic Health System, Inc. (CHS) agreed to pay $3,293,122.66 to settle False Claims Act allegations that it knowingly submitted or caused the submission of false claims to the Medicare program by engaging in improper financial relationships with physicians in violation of the Stark Law1.

About The Stark...

Tagged in: Anti-Kickback and Stark, False Claims Act, qui tam,

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Assertio to Pay $3.6M in False Claims Act Settlement over Fentanyl Marketing Practices

Posted  05/21/25
silver whistle
By the Constantine Cannon Whistleblower Team  On May 9, the government announced that Assertio Therapeutics Inc., (formerly Depomed Inc.) (“Assertio”), agreed to pay $3.6 million to resolve False Claims Act allegations stemming from its marketing of Lazanda, its transmucosal immediate-release fentanyl (TIRF) drug. This case was initiated by whistleblowers.1 Lazanda is a nasal spray solely approved by the...

Tagged in: False Claims Act, Healthcare Fraud, qui tam,

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CoreLife Eatery Admits to Pandemic Relief Fraud in Whistleblower Initiated Case, Will Pay $7.8M

Posted  05/20/25
Statue of Liberty wearing facemask
By the Constantine Cannon Whistleblower Team On May 5, the government announced that the restaurant chain CoreLife Eatery, LLC admitted to misrepresenting its eligibility for pandemic relief funds. The business, which operates locations in Illinois, Kentucky, Ohio, Pennsylvania, and New York, agreed to pay $7,809,373 to resolve allegations that it violated the False Claims Act by falsely certifying its eligibility...

Tagged in: Anti-Kickback and Stark, COVID-19, False Claims Act, qui tam,

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Genexe and Its Entities Will Pay $6M to Settle False Claims Act Allegations, Case Brought by Four Whistleblowers

Posted  05/13/25
DNA
By the Constantine Cannon Whistleblower Team On April 23, the government announced that Genexe LLC, its marketing company Immerge, Inc., and two of its owners, Jason Green and Jason Gross, will pay $6 million to settle allegations that they violated the False Claims Act and Anti-Kickback Statute. The now-defunct Genexe once billed itself as a “one-stop-shop” for genetic and pharmacogenetic profiling,...

Tagged in: Anti-Kickback and Stark, False Claims Act, Healthcare Fraud, qui tam,

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Gilead Pays $202M to Settle False Claims Act Kickback Charges

Posted  05/5/25
HIV meds
By the Constantine Cannon Whistleblower Team On April 29, the Department of Justice (DOJ) announced that California-based pharmaceutical giant Gilead Sciences agreed to pay $202 million to settle charges of violating the False Claims Act and Anti-Kickback Statute.  Specifically, the government alleged Gilead provided financial inducements to physicians to speak at or attend sham medical conferences to induce them...

Tagged in: Anti-Kickback and Stark, False Claims Act, qui tam,

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NJ Rehab Center Will Pay $19.75M to Resolve False Claims Act Allegations

Posted  05/2/25
rehab facility with bikes and benches
On April 30, a New Jersey-based drug and alcohol rehabilitation facility, Summit BHC New Jersey, LLC, d/b/a Seabrook, agreed to pay $19.75 million to resolve allegations that it violated the False Claims Act by billing for services it was not authorized to provide. This case was initiated by a former Seabrook employee who filed suit under the whistleblower or qui tam provisions of the False Claims Act. According to...

Tagged in: False Claims Act, Healthcare Fraud, Medicaid, qui tam,

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$127M Health Care Fraud and Kickback Scheme: Business Operators Sentenced, Settle False Claim Act Allegations

Posted  04/29/25
money in pocket
By the Constantine Cannon Whistleblower Team The government continues to prioritize healthcare fraud enforcement. As we detailed in our round-up of top healthcare-related False Claims Act recoveries from 2024, more than $1.67 billion (58% of all FCA recoveries that year) came from healthcare fraud cases alone. With several settlements already announced this year, 2025 is shaping up to be another active year in...

Tagged in: False Claims Act, Healthcare Fraud, Medicare, qui tam,

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