Over the last 15 years, private equity (“PE”) firms have invested hundreds of billions of dollars in the healthcare sector, infiltrating every corner of the industry from emergency rooms and labs to billing providers and...more
1/27/2025
/ Civil Monetary Penalty ,
Debt Collection ,
Department of Health and Human Services (HHS) ,
Department of Justice (DOJ) ,
Enforcement Actions ,
False Claims Act (FCA) ,
FDCPA ,
Fraud ,
Fraudulent Transfers ,
Healthcare ,
Leveraged Buyout ,
Private Equity ,
Relators ,
Settlement
On February 22, 2024, the Department of Justice (“DOJ”) published its annual review of cases and recoveries under the False Claims Act. Through the end of fiscal year 2023, total recoveries (across all years) under the False...more
2/27/2024
/ Anti-Kickback Statute ,
CIGNA ,
Coronavirus/COVID-19 ,
Department of Justice (DOJ) ,
False Claims Act (FCA) ,
Healthcare Fraud ,
Medicare ,
Medicare Advantage ,
Paycheck Protection Program (PPP) ,
Qui Tam ,
Relators ,
Whistleblowers
On August 14, 2023, in a rare whistleblower award opinion, the Eleventh Circuit affirmed the Securities and Exchange Commission’s (SEC) denial of a whistleblower award in Granzoti v. Securities and Exchange Commission, 2023...more
The United States government has four primary whistleblower statutes and reward programs:
•The Federal False Claims Act (“FCA”)-
•The Securities and Exchange Commission (“SEC”) Whistleblower Program-
•The Internal...more
Earlier this month, Snap Diagnostics LLC and two of its executives entered into a nearly $4 million settlement with the United States to settle two qui tam lawsuits. Snap agreed to pay the government $3.5 million with the two...more
Takeaway: The H.I.G. case will no doubt embolden the Department of Justice and whistleblowers going forward. Now DOJ and relators have a strong summary judgment opinion to ground liability in future cases and several...more
On January 14, 2021, the Department of Justice provided its annual review of cases and recoveries under the False Claims Act. Through the end of fiscal year 2020 (ending September 30, 2020), total recoveries (across all...more