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
Takeaways:
•The IRS is modernizing its somewhat anemic whistleblower program.
•IRS whistleblower awards are finally rebounding.
•The IRS is aggressively targeting high-net-worth taxpayers and large corporations....more
Takeaways:
•The Office of the Attorney General for D.C. announced a $40 million settlement with Michael Saylor and MicroStrategy, Inc., marking the largest income tax recovery in D.C. history.
•The resolution arose from a...more
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
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
CT Magazine (June 2022) -
The Medicare and Medicaid programs are exceedingly complex, and navigating the myriad statutes, regulations, rules, and guidance presents significant challenges for all healthcare providers and...more
In Insinga v. Commissioner of Internal Rev. Service, 9011-13W, 2021 WL 4983084 (U.S. Tax Ct. Oct. 27, 2021), the United States Tax Court recently tackled an issue of first impression: whether an IRS whistleblower’s claim may...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
Takeaway: 2021 has been a record year for the SEC’s whistleblower program with awards for fiscal year 2021 topping $500 million and total awards now exceeding $1 billion. This reflects both a pro-whistleblower administration...more
Takeaway: This recovery makes it very clear that the federal government and whistleblowers continue to aggressively pursue fraud allegations involving the Medicare Advantage Program. We can expect to see robust enforcement...more
The District of Massachusetts issued the very first summary judgment decision in a False Claims Act (FCA) lawsuit involving a private equity (PE) firm. The decision provides valuable insight into how the FCA may apply to PE...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