The Justice Department’s (DOJ) recent resolution with AssuredPartners and its former subsidiary, AP of South Florida (APSF), marks a notable False Claims Act (FCA) case arising from alleged fraud in the Affordable Care Act (ACA) marketplace. APSF agreed to plead guilty to major fraud against the United States and pay $27.6 million in restitution, while […]
On March 11, 2026, the Department of Justice announced the latest in a long line of Medicare Advantage fraud settlements against MAOs—this time with Aetna, which agreed to pay $117.7 million to resolve False Claims Act allegations involving risk adjustment practices. This case is part of DOJ’s ongoing focus on Medicare Advantage “upcoding”—that is, making […]
Last week, FinCEN announced a historic $80 million penalty against Canaccord, LLC, a broker-dealer, for violations of the Bank Secrecy Act. The penalty is the largest ever imposed against a broker-dealer for BSA violations. This news is a ringing reminder to broker-dealers that despite the Bank Secrecy Act having “Bank” in its name, it applies […]
Fraud against the Medicare Advantage (MA) program, a privately-run alternative to traditional Medicare, has been in the news a lot recently. In January, Kaiser Permanente agreed to pay over $500 million to resolve allegations that it was defrauding the program, in a whistleblower case partially launched by our client, James Taylor. In February, HHS-OIG released […]
Last week, U.S. Senate Finance Committee Ranking Member Ron Wyden and Chairman Mike Crapo introduced the Taxpayer Assistance and Service Act, a bipartisan bill seeking to improve a wide range of Internal Revenue Service (IRS) procedures and administration. Among other notable reforms, the Act incorporates another rare piece of bipartisan legislation: The IRS Whistleblower Program Improvement […]
Sanctions enforcement is usually discussed in the language of tankers, banks, and cross‑border payments. But a recent enforcement action by the Office of Foreign Assets Control (OFAC), the top sanctions regulator in the U.S., reads more like an admissions file. Earlier this month, IMG Academy, an elite youth sports academy where tuition runs nearly $100,000 […]
First published on PR Newswire – Across the Pond, an education recruitment company that places U.S. students in U.K. universities, and its co-founder have collectively agreed to pay $1.3 million dollars to settle claims they violated U.S. rules around how recruitment companies are paid when targeting U.S. students that receive federal loans. This settlement resolves […]
In a much-awaited decision, the Supreme Court today held in Learning Resources, Inc., et al. v. Trump that tariffs President Trump imposed under the International Emergency Economic Powers Act (IEEPA) are invalid. Customs and Border Protection statistics show that about $130 billion in IEEPA tariffs have been collected since 2025. Beyond its major economic impact, […]
Earlier this month, the Commodity Futures Trading Commission (CFTC) submitted its Fiscal Year 2025 Whistleblower & Customer Education Report to Congress, a statutorily mandated account of the agency’s whistleblower program. The report provides useful data on tips received and awards granted, but it also highlights a troubling trend: the CFTC’s whistleblower award cadence and award […]
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 […]
