Biden Administration Focuses on Cybersecurity in Government Contracting – What Can Whistleblowers Do?
Following a number of high-profile cybersecurity incidents, the Biden administration is taking steps to improve the nation’s cybersecurity infrastructure. The federal government is making cybersecurity an enforcement priority, devoting additional resources to enforcement and upgrades, and strengthening technology standards. Many of these planned improvements focus on the federal government’s own information...
A New Day for Data Whistleblowers: DOJ Joins First False Claims Act Case Brought by Data Analysis Firm Whistleblower
In a potential watershed moment, data whistleblowing pioneer Integra Med Analytics secured their first government intervention in a False Claims Act case alleging Medicare billing fraud against a group of skilled nursing facilities in New York. Integra's action alleges that over the course of almost a decade, the fraud resulted in overcharges exceeding $129 million.
This Week in Whistleblower History: 50th Anniversary of the Publication of the “Pentagon Papers,” Leaked by Daniel Ellsberg
This week marks the 50th Anniversary of the publication by The New York Times, starting on June 13, 1971, of a series of reports on the secret history of the Vietnam War based on thousands of pages of highly classified government documents. The documents, which became known as the “Pentagon Papers,” were leaked by Daniel Ellsberg, a former U.S. Marine with a Ph.D. in Economics working as a military analyst for...
If you travel often, you probably hate the rote sales pitch of a la carte add-ons at the car rental counter. Perhaps you check in online not just to save time but to avoid the whole spiel.
Wouldn’t you like the peace of mind of adding on the collision damage waiver? The loss damage waiver? Supplemental liability coverage, also known as additional liability insurance? Personal accident insurance? ...
Catch of the Week: Dental Clinics to Pay $2.7M for Using Unsterilized Tools on Medicaid Patients
For over five years, Upper Allegheny Health Systems, a health care system operating several dental clinics in New York and Pennsylvania, allegedly performed dental services without sterilizing equipment between patients and falsely billed Medicaid for those services. After a former employee blew the whistle, the United States and the State of New York stepped in to investigate, and the defendant agreed to a $2.7...
DOJ Lowers The Boom On COVID-19 Healthcare Scams, Again
Hey, fraudsters, did you hear? There was a global pandemic, so the government pumped trillions of dollars into the economy. Probably a good time to get a piece of the cut, you ask? They’ll never find out, right? So many ways to grift!
Well, not so much. From the start, the cops on the beat, led by the United States Department of Justice, have screamed from the rooftops: “Don’t do it. We WILL...
Private-Equity Red Flags Signal Potential False Claims Act Liability
Private equity (PE) firms that manage healthcare entities have further reason to take note of the growing record of exposure for False Claims Act (FCA) liability.
In the latest shot across the bow, the PE firm, a majority shareholder of a for-profit mental-health provider, knew about the false claims and played a sufficiently active role in operations potentially to have caused them. Evidence...
Catch of the Week: University of Miami to Pay $22 Million to Resolve Allegations of Lab Test Fraud
The University of Miami will pay $22 million to resolve three False Claims Act lawsuits, the first of which was filed in 2013. The government alleged that UM, which operates a medical school out of Jackson Memorial Hospital and an extensive health system spanning four south Florida counties, fraudulently billed government health care programs to boost declining revenues. Jackson Memorial will separately pay $1.1...
Catch of the Week: Another Pharma Company, Incyte, Settles FCA Claims For Kickbacks to a Charitable Foundation
The Department of Justice announced this week that Incyte Corporation, a Delaware pharmaceutical company, has agreed to pay $12.6 million to resolve allegations that it violated the False Claims Act by paying kickbacks to a charitable foundation to increase prescriptions for the drug Jakafi, which is used to treat myelofibrosis, a form of leukemia that causes extensive scarring in bone marrow and leads to severe...