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Whistleblower Insider Blog

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.

Catch of the Week: In hot water again, now for fleecing customers in foreign currency transactions, Wells Fargo pays $72m in fines and restitution

Posted  09/29/21
Wells Fargo Bank Banners on Side of Building
Earlier this week, the Department of Justice settled an important case in which Wells Fargo Bank agreed to pay over $70 million in penalties and restitution to defrauded bank customers. Wells Fargo admitted that it defrauded 771 customers, mostly small businesses, who used the bank’s foreign exchange services when they needed to send money overseas or receive money from abroad. Rather than charging standard fees for...

Catch of the Week: CMS Suspends UnitedHealth and Anthem Medical Advantage Plans for Charging Too Much in Premiums

Posted  09/24/21
Medicare Card
CMS suspended three UnitedHealth Medicare Advantage (MA) plans and one Anthem MA plan this week for failing to meet federal Medical Loss Ratio requirements. The four plans – United of the Midwest, United of New Mexico, United of Arkansas, and Anthem’s MMM Healthcare – are prohibited from enrolling new members until 2023. MMM Healthcare is the largest MA plan in Puerto Rico, with more than 260,000...

Passage of “Silenced No More Act” Poised to Usher in New Era of Transparency, Where California Whistleblowers Will No Longer be Gagged by Overly Broad Non-Disclosure Agreements and Non-Disparagement Clauses and Can More Freely Report Corporate Fraud

Posted  09/24/21
judge striking down his gavel
On Monday, August 30th, the California Legislature took a giant leap forward in promoting transparency, corporate accountability, and integrity by passing Senate Bill 331, the “Silenced No More Act,” which is soon to be one of the country’s most advanced laws redressing the insidious role NDAs and other concealment and non-disparagement clauses have played in preventing whistleblowers from speaking up about...

The Evergrande Crisis Shows the Need for Greater Regulatory Oversight of the OTC Markets

Posted  09/23/21
market trading graph with large dip
The potential imminent collapse of China’s largest property builder, Evergrande, is shining a light on just how expensive homes in China’s big cities have become—and how much of a risk of a bubble there is, with potentially catastrophic effects on the global markets.  A potential collapse would not just affect Chinese investors, although they may bear the brunt.  Evergrande is traded over-the-counter in the...

Catch of the Week: Bayada Home Health Care Settles Kickback Allegations for $17 Million in Case Demonstrating that Kickbacks Come in Many Forms

Posted  09/17/21
business person stamping a paper
Last week, Bayada Home Health Care, Inc., a national home health company with more than $1.5 billion in reported revenues and offices in twenty-two states, agreed to pay the United States $17 million to settle allegations that it violated the federal Anti-Kickback Statute (AKS).  The AKS prohibits paying illegal remuneration in any form to induce business or referrals paid for with federal health care dollars, and...

U.S. Pursuit of Risk Adjustment Fraud Continues with Complaint in Intervention in Case Filed by Constantine Cannon Client against Independent Health and its Coding Subsidiary DxID

Posted  09/16/21
Western District of New York Birds-Eye View of Building
In July, we wrote that managed care enforcement had reached a “tipping point,” as the Department of Justice intervened in whistleblower cases against Kaiser Permanente alleging risk adjustment fraud, including a case brought by Constantine Cannon client Dr. James Taylor.  Just last month, we announced a $90 million settlement in a different Medicare Advantage risk adjustment fraud case brought by Constantine...

SEC Awards $114 Million to Two Whistleblowers, Including an Apparent Outsider, Passing the $1 Billion Mark with a Bang

Posted  09/16/21
Boom comics
The SEC announced $114 million in whistleblower awards to two unnamed individuals whose information substantially contributed to an SEC enforcement action and two related actions by other enforcement agencies.  With this award, the SEC can say it has issued more than $1 billion in awards to whistleblowers – truly, a milestone worth celebrating. As is typical with SEC press releases about whistleblower awards,...

Eric Havian Discusses Beginning of Theranos Trial on Talking Feds Podcast: Listen Here

Posted  09/15/21
Talking Fed Podcast Mircophone
Our very own Harry Litman, host of the Talking Feds podcast which brings together former government officials, recently welcomed Constantine Cannon Whistleblower partner Eric Havian to discuss the trial of Theranos founder and former CEO Elizabeth Holmes. While this Talking Feds podcast would ordinarily be available only through Patreon, we have made it available to you below. Ms. Holmes is charged with 12 counts...

Constantine Cannon Attorneys Present on Whistleblower Cases Involving MA Risk Adjustment Fraud at RISE West Conference

Posted  09/10/21
stethoscope on top of hundred dollars bills scattered around
Building on Constantine Cannon’s reputation as the preeminent law firm representing whistleblowers in FCA cases involving Medicare Advantage (MA) risk adjustment fraud, three Constantine Cannon attorneys, Mary Inman, Ed Baker, and Max Voldman, recently presented on case developments in this fast-developing area of the law at RISE West, a national conference for healthcare professionals working in the managed care...

Catch of the Week: San Francisco Garbage Companies Cop to Bribing Corrupt City Regulator in $36 Million Deal with Feds

Posted  09/10/21
Garbage Truck Men Loading Trash Behind Truck
Three San Francisco trash and recycling companies, all Recology, Inc. subsidiaries, have agreed to pay $36 million in a corruption scheme involving substantial bribes to former San Francisco Public Works Director Mohammad Nuru. The SF Recology Group, which includes Recology San Francisco, Sunset Scavenger Company, and Golden Gate Disposal & Recycling Company agreed to a deferred prosecution deal on charges they...
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