Early this month, CVS agreed to pay nearly $38M to settle five related whistleblower cases concerning its dispensing of insulin pens. The government and many whistleblowers alleged that CVS improperly requested and received reimbursement for premature refills, dispensed more insulin pens than patients needed according to their prescriptions, and falsely under-reported the days-of-supply of insulin […]
The UK government, following the lead of successful US programs, has launched a new whistleblower reward initiative in His Majesty’s Revenue and Customs (HMRC), the UK’s tax authority, designed to encourage individuals to report serious tax fraud, including those involving wealthy high-net-worth individuals, large corporations and offshore or avoidance schemes. This program, announced on November […]
On November 21, 2025, the DOJ announced that Dr. Ameet Vohra and his company, Vohra Wound Physicians Management, one of the nation's largest providers of specialty wound care for patients in nursing homes and skilled nursing facilities, have agreed to pay $45 million to resolve allegations that they submitted false and improper claims to Medicare. […]
Medical Device Company Semler Scientific and its former distributor Bard Peripheral Vascular Inc. recently reached a $37 million settlement with DOJ to resolve allegations raised by two whistleblowers that they violated the False Claims Act (FCA). Of the almost $37 million settlement, Semler will pay $29.7 million and Bard will pay $7.2 million. The qui […]
A recent study by Boston University professor Jetson Leder-Luis, entitled Can Whistleblowers Root Out Public Expenditure Fraud? Evidence from Medicare, found that deterrence from $1.9 billion in False Claims Act settlement payments generated almost $19 billion in Medicare cost savings – a 10:1 deterrent effect. Professor Leder-Luis concludes that whistleblower-initiated False Claims Act cases are […]
Teachers should make more money. Even principals should make more money. But they probably shouldn’t do it by secretly holding two jobs with overlapping hours at the same time. The Washington, DC Attorney General’s office recently announced a settlement under its District False Claims Act (the DC equivalent of a state False Claims Act) against […]
A recent price-fixing guilty plea provides a roadmap for antitrust whistleblowers looking to report wrongdoing and receive a reward. Last month, DOJ announced the guilty plea of Dennis Dopico, who conspired to fix seafood prices in Florida. DOJ alleged that Dopico conspired for years with other wholesalers to fix the prices of stone crab claws […]
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 […]
In an opinion issued September 24, 2025, the D.C. Circuit held in favor of a tax whistleblower in a decision that could mark a turning point for judicial review of the IRS tax whistleblower program. Although there has been no shortage of litigation around the program, wins for whistleblowers are extremely rare, especially on anything […]
A lawsuit filed last week by the Department of Justice brings attention to a seldom litigated allegation of fraud against the government: manipulation of a health plan’s Medical Loss Ratio (“MLR”). In general, an MLR is what percentage of premiums a health plan is legally required to spend on patient care, as opposed to money […]
