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
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...
Eric Havian Discusses Beginning of Theranos Trial on Talking Feds Podcast: Listen Here
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...
SEC Whistleblower Program Summer Roundup - Nearing the Billion Dollar Mark
For the SEC Whistleblower Program, it was business as usual this summer. With total awards of more than $50 million to 25 whistleblowers, the agency moved ever closer to the billion dollar mark. Here is how it played out for the SEC program over the not so lazy days of summer:
Whistleblowers are Essential to Protect Infrastructure Funds
America’s roads, bridges, power grids, and airports are a mess. Recently a group of civil and structural engineers graded the nation’s infrastructure a below-average C-. The Bipartisan Infrastructure Bill currently before Congress aims to solve some of those issues, with what the White House described as “a once-in-a-generation investment in our infrastructure.” The Bipartisan Infrastructure Bill promises...
Unnecessary procedures have long plagued the U.S. healthcare system, costing taxpayers billions and subjecting thousands of patients to invasive procedures that sometimes do more harm than good. For decades, various government actors have acknowledged the problem.
Why then is it so difficult to prevent unnecessary procedures in the U.S.?
Reporter Chris Outcalt recently pondered in a piece for The Atlantic. The...
Catch of the Week: Telemedicine Company Owner Charged in $784 Million Kickback Scheme
Underscoring the fraud risks associated with the government’s continued expansion and loosening of restrictions on telehealth, the U.S. Department of Justice recently announced that a grand jury in New Jersey has returned a superseding indictment against the Florida owner of multiple telemedicine companies, referred to by DOJ prosecutors as the Video Doctor Network, for allegedly participating in a massive Medicare...
Senator Grassley Leads Bi-Partisan Pro-Whistleblower Push to Amend False Claims Act
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.
Constantine Cannon Celebrates National Whistleblower Day
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...
Compliance Week to Feature Two Constantine Cannon Whistleblower Clients in New Series
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...