Whistleblower Insider is written by the Constantine Cannon law firm team of experienced qui tam and whistleblower lawyers. It is updated regularly to provide the latest whistleblower and fraud news and developments.
Continued Consolidation in Jail Healthcare Puts Everyone at Risk
Jails around the country are responsible for providing for the health and safety of approximately 612,000 people. Many of these individuals suffer from debilitating conditions, including mental health crises, drug withdrawal, disabilities, and chronic health conditions. As such, the consistent provision of health care is a critical part of the daily work of any jail.
An increasing number of jails are deciding...
When “Shall” Doesn’t Mean “Shall” – the Director of National Intelligence’s refusal to hand over whistleblower complaint undermines executive branch accountability, reports Constantine Cannon’s Harry Litman in The Washington Post and MSNBC.
Whistleblowers, inspectors general, and congressional oversight all serve the purpose of keeping the executive in-check and accountable, says Harry Litman, who was featured on MSNBC, in The Washington Post, and elsewhere for his take on the unprecedented refusal of the executive to produce material for congressional oversight.
A whistleblower submitted information to the intelligence-community inspector general,...
Catch of the Week — Texas Hospital Exec Sentenced to 10 Years in Prison for Medicare Fraud
On Monday, a federal judge in Houston sentenced Starsky Bomer, the former CFO and COO of Atrium Medical Center and Pristine Healthcare, to ten years in prison for his role in a Medicare fraud scheme that bilked the government of $16m. Bomer was convicted by a jury in October of last year. His co-conspirator, Dr. Sohail R. Siddiqui, took a plea deal in 2017 and is serving five years in prison.
Bomer will do time...
Question of the Week — Should Drug Companies that Defraud the Government Lose Their Patents?
Settlements between drug companies and the government are commonplace these days. Just last week the DOJ announced another settlement with a pharmaceutical company, Mallinckrodt, for allegedly paying kickbacks to doctors to induce them to prescribe more of the company’s drug. The company was accused of violating the Anti-Kickback Statute, which generally prohibits medical providers from paying or receiving...
Catch of the Week – South Florida Health Care Facility Owner Sentenced to 20 Years in $1.3 Billion Fraud - The Largest Health Care Fraud Scheme Ever Charged by the DOJ
Philip Esformes, 50, of Miami Beach, Florida, was sentenced to 20 years in prison for his role in a decades-long billion-dollar scheme to submit fraudulent claims to Medicare and Medicaid both for services deemed medically unnecessary and services that were medically necessary but that he did not provide. Esformes personally pocketed $37 million from this scheme to fund his lavish lifestyle, while leaving elderly...
Medicare Whistleblowers: The Most Common Questions Answered About Reporting Medicare Fraud
What potential whistleblowers need to know about reporting fraud in government healthcare programs.
Get answers to 6 common medicare whistleblower questions
In this article, our experienced whistleblower attorneys have answered 6 of the most important and common questions posed by individuals who have knowledge of potential healthcare fraud, specifically, fraud in the Medicare program. Click the links below to...
CATCH OF THE WEEK – Mallinckrodt Pays for Kickbacks on Acthar; Investigation into Copayment Subsidies Continues
This week, the Department of Justice announced that pharmaceutical company Mallinckrodt ARD LLC had agreed to pay over $15 million to resolve allegations that it paid illegal kickbacks to physicians to induce them to prescribe Acthar.
Two whistleblower lawsuits brought under the False Claims Act against Mallinckrodt alleged that from 2009 to 2013, the pharma company, then known as Questcor,...
Fraud in Government Telehealth Programs: How to Report it Under the False Claims Act for a Whistleblower Reward
When patients are unable to see a doctor in person, technology can offer solutions. Telehealth or telemedicine is the provision of health services – including assessment, diagnosis, intervention, consultation, or supervision – across distance through the use of information technology. It can be especially valuable in rural areas, where specialty providers may not be available.
And its use has grown...
Deutsche Bank Pays More than $16M to Settle SEC Charges of FCPA Violations
Last week, the SEC announced that German-based banking giant Deutsche Bank agreed to pay more than $16 million to settle charges it violated the Foreign Corrupt Practices Act (FCPA) by hiring relatives of foreign officials in China and Russia to get investment banking business. See SEC Press Release. According to the SEC’s order, these so-called "referral hires" bypassed the bank's merit-based hiring process and...