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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 – Sour Grapes: Fruit-Broker Squashed for Role in Defrauding Federal Crop Insurance

Posted  08/13/21
Grapes
The manager of a California fruit broker learned the hard way that it doesn’t pay to assist in defrauding the Federal Crop Insurance Program.  The manager, at the behest of a grape farmer who sold crops through the broker, altered the farmer’s records to reflect lower-than-actual sales.  The falsified records assisted the farmer to claim crop-losses falsely and receive insurance-reimbursements funded by the...

Tagged in: Catch of the Week, Crop Insurance, FCA Federal, FIRREA, Flood Insurance, Private Insurance Whistleblower Reward Programs,

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SEC Chairman Views Cryptocurrency Markets as the “Wild West” and Calls for More Investor Protection

Posted  08/13/21
By Carolina Gonzalez
Cryptocurrency and US Hundred Dollar Bills Scattered Around
During a recent speech discussing the intersection of national security with cryptocurrencies at the Aspen Security Forum, Gary Gensler, the new Chairman of the Securities and Exchange Commission (SEC), made clear the SEC will use its broad powers to continue protecting investors from the volatility associated with cryptocurrency markets which he characterized as the “Wild West.”  He also urged Congress to grant...

Tagged in: Cryptocurrency, Financial and Investment Fraud, Fraud in CFTC-Regulated Markets, Insider Trading, Market Manipulation and Trading Violations, Ponzi Schemes, Securities Fraud, Whistleblower Rewards,

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Media Coverage of Government Intervention in Kaiser Medicare Advantage Suits: LA Times says Cases Point to a “Massive Fraud Problem in Medicare”

Posted  08/6/21
Headshots of attorneys Edward Baker, Mary Inman, and Michael Ronickher
As we announced last week, the U.S. Department of Justice gave notice that it was intervening in six different False Claims Act lawsuits against Medicare Advantage organization Kaiser Permanente and its affiliated entities, including a whistleblower lawsuit filed by Constantine Cannon’s whistleblower client, James Taylor, M.D.  The government’s decision received extensive coverage in the media, with Los Angeles...

Tagged in: CC Lawyers, FCA Federal, Healthcare Fraud, Managed Care, Risk Adjustment Fraud, Upcoding,

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Catch of the Week: Waived Copayments and “Free” Glucometers Result in $160 Million Recovery in Whistleblower Action Against Previously-Barred Arriva Medical

Posted  08/4/21
Woman using glucometer and diabetes testing strips
Mail-order diabetes supply company Arriva Medical has agreed to pay $160 million to resolve a False Claims Act case filed in 2013 by a whistleblower who worked for ten months in one of the company’s call centers.  The government intervened in the whistleblower’s action in early 2019, and the case had been set for trial in June 2022. The settlement is the latest in a long string of actions against Arriva and...

Tagged in: Anti-Kickback and Stark, Catch of the Week, FCA Federal, Healthcare Fraud, Medical Billing Fraud, Medical Devices and DME, Whistleblower Case, Whistleblower Rewards,

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Senator Grassley Leads Bi-Partisan Pro-Whistleblower Push to Amend False Claims Act

Posted  07/30/21
Senator Chuck Grassley Plague
Perennial whistleblower-champion Senator Chuck Grassley (R-Iowa) is at it again.  This time with the bi-partisan legislation he just introduced to further expand the reach of the False Claims Act, the government's key fraud enforcement tool.  The statute was enacted in 1863 to fight widespread fraud by companies selling rotten food, sickly mules, and defective weapons to the Union Army during the Civil War. But...

Tagged in: FCA Federal, FCA Materiality, Importance of Whistleblowers, Retaliation, Whistleblower Rewards,

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Federal Court Confirms That Outsiders Can Be SEC Whistleblower Too

Posted  07/30/21
SEC-building
What does it mean to be a “whistleblower”?  Often, people think of corporate or government employees with access to secret information that’s not visible from the outside.  A classic example is Daniel Ellsberg.  Working as a military analyst for the RAND Corporation, Ellsberg accessed and leaked an explosive Top Secret study of U.S. activities in the Vietnam War. But the U.S. whistleblower award programs...

Tagged in: Financial and Investment Fraud, SEC Whistleblower Reward Program, Securities Fraud,

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United States Reaches a “Tipping Point” in Managed Care Enforcement: DOJ Intervenes in Constantine Cannon’s Lawsuit Against Kaiser Permanente

Posted  07/30/21
Kaiser Permanente Building with Logo
In a sign that the government’s enforcement efforts against fraud in the Medicare managed care system have reached a tipping point, the U.S. Department of Justice announced today that it is joining a portion of a whistleblower lawsuit brought by a Constantine Cannon client under the False Claims Act against Kaiser Permanente and affiliated entities, one of the nation’s largest managed-care organizations. ...

Tagged in: CC Lawyers, FCA Federal, Government Decision, Healthcare Fraud, Managed Care, Medicare, Risk Adjustment Fraud, Upcoding, Whistleblower Case,

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Constantine Cannon Celebrates National Whistleblower Day

Posted  07/30/21
female standing proud with her silhouette as a superhero
Today, along with U.S. Senator Chuck Grassley and other members of Congress, we celebrate National Whistleblower Day, marking the occasion, on July 30, 1778, when the Continental Congress unanimously enacted the first whistleblower protection law in the United States.  As whistleblower advocates, it is a day to reflect on the courage, sacrifice, and patriotism of whistleblowers both in the United States and around...

Tagged in: Importance of Whistleblowers, Whistleblower Protection Laws,

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Compliance Week to Feature Two Constantine Cannon Whistleblower Clients in New Series

Posted  07/23/21
silver whistle
Compliance Week announced this week a new series of articles on whistleblowers, highlighting the important role they play while simultaneously being stigmatized for doing the right thing.  The six-part series titled “Witness to Wrongdoing” was announced on July 21st and will feature the stories of various whistleblowers, including two Constantine Cannon clients.  The series will run from July 26th to July 30th...

Tagged in: Importance of Whistleblowers, Whistleblower Case,

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Partner Mary Inman Speaks about Research Fraud with Science Whistleblower Dr. Elisabeth Bik at the HCCA’s Research Compliance Conference

Posted  07/23/21
gears cogs
On June 16, 2021, Constantine Cannon partner Mary Inman spoke at the Health Care Compliance Association’s (HCCA) Research Compliance Conference on the topic of ‘The Vital Role of Whistleblower Scientists in Exposing Fraudulent Research During the Pandemic.’  Mary was joined by co-panelist Dr. Elisabeth Bik, the Founder and Editor of the Science Integrity Digest, a blog about scientific integrity aimed at...

Tagged in: COVID-19, Grant and Research Fraud, Importance of Whistleblowers, Other Government Health Programs, Whistleblower Evidence,

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