Last week, the Office of the Inspector General for the Department of Health and Human Services (HHS OIG) issued new compliance program guidance for parties involved in Medicare Advantage, updating the prior guidance it issued over two decades ago. The report flags several high priority risk areas, described below, and repeatedly warns that these parties […]

Whistleblower Partners is proud to announce that our client, Dr. James Taylor, the United States, and another whistleblower have reached a settlement with Kaiser Permanente and various subsidiaries to resolve allegations of Medicare Advantage risk adjustment fraud for $556 million. This is the largest False Claims Act settlement in over three years. It is also […]

The DOJ has settled the sixth cybersecurity False Claims Act case in just eight months, marking fourteen settlements in less than four years since the DOJ launched its Civil Cyber-Fraud Initiative (CCFI). These settlements and the upcoming (and long-awaited) implementation of the CMMC program cement cybersecurity compliance as a DOJ enforcement priority and underscore the […]

C-Quest’s cookstove project seemed like a win-win: a low-cost carbon credit initiative with the promise of real climate impact and better living conditions for impoverished communities in Mozambique. The project? Distribute cheap, efficient cookstoves that use less wood than traditional campfires. These stoves were expected to reduce deforestation, cut carbon emissions, and lower the risk […]

The recent court order granting the CFTC summary judgment in its case against Sam Ikkurty, Jafia, LLC, Ikkurty Capital, LLC, Rose City Income Fund II, and Seneca Ventures, LLC has significant implications for the regulation of cryptocurrencies. Judge Mary Rowland of the U.S. District Court for the Northern District of Illinois confirmed that Bitcoin, Ethereum, […]

A federal court has dismissed most of the SEC’s complaint against software company SolarWinds for alleged securities laws violations related to the SUNBURST cyberattack. A sliver of the SEC’s case against SolarWinds and its CISO Timothy Brown survives: the allegations regarding misstatements in the company’s public Security Statement. Now, the SEC will have the opportunity […]

DOJ’s Antitrust Division announced a new task force yesterday focused on Health Care Monopolies and Collusion (HCMC). According to DOJ Assistant Attorney General Kanter, the purpose of the task force is to implement a “whole of Government approach” to antitrust enforcement in health care, bringing “together civil and criminal prosecutors, economists, health care industry experts, […]

DOJ, FTC, and HHS announced a new online portal for complaints on anticompetitive and monopolistic healthcare practices. Through HealthyCompetition.gov, whistleblowers can submit tips on antitrust violations that drive up healthcare costs, limit access to quality care, and harm healthcare workers and consumers. Unlike the general antitrust complaint portal, HealthyCompetition.gov specifically seeks information on healthcare related […]