October 22, 2021
HHS-OIG probes improper risk adjustment by Medicare Advantage companies
Whistleblowers have filed in recent years a number of “qui tam” cases against Medicare Advantage companies alleging risk-adjustment fraud – a practice that drives a major portion of improper payments...
Posted In Whistleblower Law Insights
October 12, 2021
Sen. Grassley urges CFTC nominees to support whistleblower program
Senator Chuck Grassley (R-Iowa) is pushing Commodity Futures Trading Commission nominees to commit to revitalizing the CFTC’s whistleblower program, which is hurting due to budgetary constraints. In...
Posted In Whistleblower Law Insights
September 23, 2021
Projected Medicare growth – a brief summary
For fiscal year 2021, $1.2 trillion was allocated to Medicare (which in 2019 covered more than 58 million people). By 2028, Medicare expenditures are projected to reach $1.56 trillion (to cover approximately...
Posted In Whistleblower Law Insights
September 22, 2021
SEC pursues crypto-lending, DeFi cases; need for whistleblowers grows
The US Securities and Exchange Commission has launched probes into the practices of multiple crypto lending platforms, including DeFi platforms developed by Coinbase Global and Uniswap Labs, reinforcing...
Posted In Whistleblower Law Insights
September 21, 2021
Whistleblowers’ role in patient safety
Medical errors are the eighth leading cause of death in the United States. More people die from medical errors than from motor vehicle accidents, breast cancer, or AIDS. The estimated annual cost of additional...
Posted In Whistleblower Law Insights
September 16, 2021
Sutter Health settles whistleblower case alleging Medicare Advantage fraud for $90M
Sutter Health, northern California’s largest hospital system, is paying $90 million to settle a whistleblower’s qui tam lawsuit that alleged Sutter engaged in Medicare Advantage fraud to inflate its...
Posted In Whistleblower Law Insights
September 15, 2021
SEC surpasses $1B in whistleblower awards
The US Securities and Exchange Commission hit an important milestone today, with two whistleblower awards that pushed the total of SEC whistleblower rewards since 2012 to over $1 billion, affirming the...
September 13, 2021
Diving Into Defense Fraud
September 11, 2001 ushered in a new era of U.S. defense spending, marked by the wars in Iraq and Afghanistan. Over the last 20 years, the United States has spent more than $6.4 trillion on those wars....
Posted In Whistleblower Law Insights
September 10, 2021
Let’s Dive Into Government-Funded Healthcare Programs
The U.S. Government spent $1.3 trillion on Medicare in fiscal year 2020, making it by far the largest subfunction expenditure in the federal budget. If Medicare was a country, it would have approximately...
Posted In Whistleblower Law Insights
September 09, 2021
The Billions Lost to Healthcare Fraud
The Government Accountability Office reports that in fiscal year 2019, approximately $46.2 billion in improper payments were made in the Medicare program. And this may even be a conservative estimate!...
Posted In Whistleblower Law Insights