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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.

Bristol-Myers Squibb Settlement Highlights a Common-Sense Law: The Medicaid Drug Rebate Program

Posted  04/2/21
Drug prices are out of control.  They now account for roughly 10% of our healthcare spending and America’s per capita outlay has nearly doubled over the past two decades.  For the least fortunate among us, many of these medications have become out of reach altogether. While new proposals are regularly made, one approach that often gets overlooked is simply enforcing the laws already on the books. That is just...

Tagged in: Catch of the Week, Drug and DME Pricing, FCA Federal, Healthcare Fraud, Medicaid, Pharma Fraud, Whistleblower Case,

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CFTC Clobbers Cryptocurrency Con Man

Posted  04/1/21
By Leah Judge
cryptocurrency scam
Last week, the CFTC announced that a federal court entered a nearly $600 million default judgment against a British man who used bitcoin to defraud more than 1,000 people worldwide.  The judgment is yet another indication that the CFTC will vigorously police cryptocurrency fraud.

The Scam

The CFTC filed a complaint against Benjamin Reynolds and his bitcoin trading and investment company, Control-Finance, back in...

Tagged in: Catch of the Week, Cryptocurrency, Financial and Investment Fraud, Fraud in CFTC-Regulated Markets, Ponzi Schemes,

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March Madness: AstraZeneca Fudges the Clinical Trial Results for Its COVID-19 Vaccine

Posted  03/26/21
By Edward Baker
basketball hoop in basketball court
In case you haven’t been following the NCAA Men’s Basketball Tournament (or even if you have), you might be surprised to learn that the University of Hartford is poised to win it all this year—except for the fact that it lost in the first round of the tournament to Baylor University, 79-55, and has been eliminated from the competition. Likewise, in case you haven’t been following the results of COVID-19...

Tagged in: COVID-19, FDA Fraud, Financial and Investment Fraud, Government Programs Fraud, Grant and Research Fraud, Healthcare Fraud, Pharma Fraud,

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Whistleblower Champion Chuck Grassley Pushes for Further Strengthening of False Claims Act (Again)

Posted  03/26/21
female standing proud with her silhouette as a superhero
Senator Chuck Grassley (R-Iowa) already is celebrated as the modern-day champion of the False Claims Act.  This is the government's main fraud-fighting tool, which empowers whistleblowers to act as private attorneys general and sue on the government's behalf over fraud in government contracts and programs.  In successful cases, it rewards these whistleblowers with between 15% and 30% of the government's...

Tagged in: Defense Contract Fraud, FCA Federal, FCA Materiality, Government Procurement Fraud, Government Programs Fraud, Whistleblower Rewards,

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Corruption in humanitarian relief and development programs: How to report USAID fraud

Posted  03/25/21
Late last week, the Department of Justice announced that the International Rescue Committee had agreed to pay $6.9 million to settle allegations that it had participated in a scheme to rig contract bids and then passed on inflated costs to the United States Agency for International Development (USAID).  IRC, a New York-based humanitarian relief organization, received funding from USAID to provide humanitarian...

Tagged in: FCA Federal, Government Procurement Fraud, Government Programs Fraud, Importance of Whistleblowers, International Whistleblowers, Reporting to Government, Whistleblower Answers,

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Catch of the Week: Founders of Poop-Testing Startup uBiome Face Fraud Charges

Posted  03/24/21
specimen jar
San Francisco-based uBiome and its founders Jessica Richman and Zachary Apte claimed they were “inventing the microbiome industry” and “making products that improve people’s lives.” Once considered a Silicon Valley success story, today, uBiome is bankrupt and its founders face various federal securities fraud and related criminal conspiracy charges. The biotech startup sold home medical tests including...

Tagged in: Catch of the Week, Criminal Proceedings, Improper Medical Facility, Medical Billing Fraud, Securities Fraud,

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COVID Frauds of the Week: DOJ Continues to Crack Down on PPP Fraudsters

Posted  03/19/21
ponzi scheme vs pyramid scheme
As of this week, the Small Business Administration has disbursed over $700 billion in Paycheck Protection Program (PPP) loans to small businesses and non-profits. There are over $100 billion in remaining appropriations, with additional appropriations likely to follow thereafter. With numbers like these, the program has become a magnet for fraudsters seeking to profit from the pandemic. The DOJ has been actively going...

Tagged in: Catch of the Week, COVID-19, Financial and Investment Fraud, Financial Institution Fraud, Government Programs Fraud, Money Laundering,

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Partner Mary Inman discusses SEC whistleblower reward program and Reenvisioning Whistleblowers as Forward Indicator of Risk at Stanford Rock Center “Whistleblowers, Ethics and Compliance” Event

Posted  03/19/21
On January 19, 2021, Constantine Cannon partner Mary Inman joined several esteemed co-panelists to discuss the recent amendments to the SEC Whistleblower program’s rules, SEC whistleblowers’  impact on securities law enforcement, and the nature and frequency of corporate whistleblowing in the “Whistleblowers, Ethics and Compliance” event organized by Stanford’s Rock Center for Corporate Governance. The...

Tagged in: International Whistleblowers, Multiple Whistleblowers and First-to-File, SEC Whistleblower Reward Program, Securities Fraud, Whistleblower Rewards,

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Disturbing New Evidence Suggests Fraud Underlies Five-Star Ratings for Some Nursing Homes

Posted  03/19/21
By Jessica T. Moore
Nurse helping elder man walking in rehab facility
Twelve years after the implementation of the nursing-home star-ratings system, a disturbing New York Times exposé and a lawsuit by California against Brookdale Senior Living reveals how the ratings are manipulated to the detriment of families in their time of crisis.  The NYT’s investigation and California’s allegations in combination paint the troubling picture of profits tied to higher star ratings, and...

Tagged in: FCA Federal, Financial and Investment Fraud, Healthcare Fraud, Home Health and Hospice, Importance of Whistleblowers, Provider Fraud, SNF,

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Catch of the Week: Unnecessary Blood Flow Tests Led to Unnecessary Flow of Healthcare Dollars

Posted  03/19/21
Doctor in handcuffs holding a stethoscope
Healthcare fraudsters routinely look for ways to extract money from federal health programs in ways that raise the least suspicion of their actions.  One of these methods is through unnecessary diagnostic testing, which can often be lucrative when conducted routinely on large groups of patients. This week we focus on a recent settlement with Dr. Dinesh Shah and Michigan Physicians Group, P.C. (“MPG”) for $2...

Tagged in: Catch of the Week, FCA Federal, Healthcare Fraud, Lack of Medical Necessity, Whistleblower Case,

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