Rite Aid Settles Two Large False Claims Act Cases, Showing How Whistleblowers Can Combat the Opioid Crisis and Fight Medicare Fraud

Last week, Rite Aid, America’s third largest retail pharmacy after CVS and Walgreens, settled two massive whistleblower cases, agreeing to pay potentially upwards of $500 million to resolve disparate allegations of healthcare fraud. The Opioid Dispensing Settlement: Last Wednesday, the Department of Justice announce that Rite Aid will pay up to roughly $410 million to […]

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The FCA: A Tool Healthcare Industry Plaintiffs Shouldn’t Ignore

A recent Federal court decision coming out of New Jersey demonstrates the viability of an unusual kind of whistleblower, a privately defrauded party. The most common protype of a whistleblower under the False Claims Act (FCA) is a corporate insider who sees fraud against the government at their employer or a company they work with […]

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Recent Settlement Shows the FCA’s Far Reach

The federal government spends roughly $6 trillion annually. A huge amount of that money goes into certain, predictable categories year after year. Spending on Medicare and Medicaid account for roughly 25% of the federal budget, defense spending, in recent years accounts for another 15% or so. Social Security payments and interest account for another 33% […]

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AI: A New Type of Whistleblower?

Artificial intelligence (AI) is seemingly everywhere these days. It’s upending industries, driving record stock market returns, and, like all revolutionary technologies, generally disrupting our current world as it pushes us towards something new. Its power is both awesome and ever changing. Can AI one day become a whistleblower? Under the False Claims Act, whistleblowers can […]

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A New Type of Fraud Recovery: A PPP Lender Settles FCA Cases for $120 Million

The Paycheck Protection Program (PPP) was a tremendously successful COVID relief program. It distributed nearly a trillion dollars in loans to businesses to keep employees on the payroll and stabilize the U.S. economy during the tumult of early 2020. The PPP helped the U.S. usher in one of the strongest economic recoveries in the world. […]

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Government Warns Catheter Fraud Coming at a Steady Stream

Healthcare fraud is nothing new, but that just means scammers have to get more creative. Urinary catheters are not on a lot of people’s minds, making them a prime target for fraud. Here’s the scam: Medicare enrollees are targeted with a phone call or email. They are offered free equipment, or gift cards to use […]

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