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False Claims Act

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COVID-19 Con: Connecticut Company Pays $2M+ to Settle False Claims Act Allegations Related to PPP Loan

Posted  02/28/25
COVID-19. globe with face mask. virus graphics
Although the pandemic has ended, government enforcement against fraudsters who took advantage of emergency government assistance programs continues. On February 25, in a case brought by a whistleblower, the government that the Waterbury, Connecticut company, MacDermid Incorporated paid $2,226,623.62 to settle False Claims Act allegations that its subsidiary, Coventya Inc., falsely certified its...

Tagged in: COVID-19, False Claims Act, qui tam,

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A “Saad” Case of Medicare Fraud: Saad Healthcare Pays $3M to Settle False Claims Act Allegations

Posted  02/25/25
Hand in hand in hospice
On February 21, the government that Saad Enterprises Inc. (DBA Saad Healthcare) will pay $3 million to settle allegations that it violated the False Claims Act from 2013-2020 by submitting false claims for the care of 21 Alabama-based Medicare ineligible hospice patients who were not terminally ill. Hospice is end-of-life palliative care for terminally ill patients who move away from traditional curative...

Tagged in: False Claims Act, Medicare,

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Grassley to Trump and DOJ: We Want Whistleblowers

Posted  02/21/25
whistleblowing laws
For the past forty years, Senator Chuck Grassley (R-Iowa) has been universally recognized as one of the strongest whistleblower champions in Congress.  He is the architect of the modern-day False Claims Act -- which allows whistleblowers to sue fraudsters on behalf of the government -- spiriting through key amendments to increase the whistleblower incentives and protections under the statute.  He has been...

Tagged in: False Claims Act, Importance of Whistleblowers,

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Health Net Federal Services, LLC and Centene Corporation Agree to Settle False Claims Act Violations Related to Cybersecurity, Paying Over $11M

Posted  02/21/25
hands typing over keyboard with translucent graphic of cyber texts and images edited over the computer and hands
On February 18, the government that the Rancho Cordova, California-based Health Net Federal Services Inc. (HNFS) and its parent company, St. Louis’s Centene Corporation, will pay $11,253,400 to resolve claims that HNFS falsely certified compliance with cybersecurity requirements in a U.S. Department of Defense (DoD) contract to administer the Defense Health Agency’s (DHA) TRICARE health benefits program...

Tagged in: False Claims Act,

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Saint Vincents to Pay $29M to Settle False Claims Act Charges of Inflated Payments for Retired Military Care

Posted  02/19/25
Department of Justice
Last Friday (February 14), Saint Vincents Catholic Medical Centers of New York (now known as SVCMC Inc.) agreed to pay $29 million to Department of Justice (DOJ) and whistleblower charges of violating the False Claims Act by keeping overpayments from the Department of Defense (DOD) for healthcare services to retired military members and their families. Saint Vincents is one of six health plans in DOD's...

Tagged in: False Claims Act,

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LiveCare Inc. Resolves False Claims Act Allegations With $4.9 Million Settlement

Posted  02/14/25
money
Another settlement that resulted in a monetary award for folks who decided to blow the whistle. On January 31, United States Attorney Roger B. Handberg that LiveCare Inc. agreed to pay approximately $4.9 million to resolve allegations that the Venice, Florida-based medical company violated the Anti-Kickback Statute and False Claims Act. LiveCare provides remote patient monitoring services to Type 2...

Tagged in: Anti-Kickback and Stark, False Claims Act, qui tam,

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Lockheed Martin Pays More Than $40M to Settle DOJ and Whistleblower Charges of Overcharging for Military Aircraft

Posted  02/7/25
Department of Justice
Yesterday (February 6), the Department of Justice (DOJ) that Maryland-based defense contractor Lockheed Martin agreed to pay roughly $30 million to settle DOJ and whistleblower charges of violating the False Claims Act by overcharging the government on several F-35 military aircraft contracts.  This is on top of the $11.3 million the company previously paid the Department of Defense (DOD) for similar...

Tagged in: False Claims Act, qui tam,

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Pfizer to Pay $60M to Settle DOJ and Whistleblower Kickback Charges

Posted  01/27/25
Last Friday (January 24), the Department of Justice that Pfizer Inc. subsidiary Biohaven Pharmaceutical Holding Company agreed to pay roughly $60 million to settle DOJ and whistleblower charges of violating the False Claims Act and Anti-Kickback Statute by paying kickbacks to induce prescriptions of Biohaven’s migraine medication Nurtec ODT.  The alleged misconduct occurred prior to Pfizer’s acquisition...

Tagged in: Anti-Kickback and Stark, False Claims Act, qui tam,

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Top 10 False Claims Act Non-Healthcare Recoveries for 2024

Posted  01/23/25
Top 10
As was evident from our recent posts on the 2024 Top 10 False Claims Act Recoveries and Top 10 False Claims Act Recoveries In Healthcare, the majority of False Claims Act recoveries routinely involve healthcare fraud.  In fact, since 1986 -- when the statute was amended to significantly increase the incentives and protections of whistleblowers -- roughly 70% of the recoveries ($54 billion out of $78 billion) of the...

Tagged in: False Claims Act, Top 10,

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Top 10 False Claims Act Recoveries in Healthcare for 2024

Posted  01/22/25
Healthcare fraud image showing stethoscope with gavel
As we noted in our Top 10 False Claims Act Recoveries post, it was another big year of recoveries under the False Claims Act.  As usual, the majority of recoveries occurred in cases involving healthcare fraud. As the Department of Justice (DOJ) just reported in its annual roundup of False Claims Act successes, of the $2.9 billion the government and whistleblowers recovered this past fiscal year (ending September...

Tagged in: Anti-Kickback and Stark, False Claims Act, Healthcare Fraud, qui tam, Top 10,

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