On June 17, 2026, the Department of Justice showed its ongoing commitment to healthcare fraud enforcement when it announced a $30 million settlement of three qui tam complaints alleging illegal kickbacks and unnecessary medical testing by Advanced Pathology Solutions PLLC (formerly an LLC) and its former owners. DOJ had intervened in the three lawsuits under […]
Export-control enforcement has become one of the central national-security challenges of the AI era. Congress is now moving toward a practical tool that has worked in other enforcement regimes: rewarding insiders who come forward with high-quality information. The Stop Stealing our Chips Act, recently passed by the Senate and now pending in the House, would […]
On June 3, 2026, the Trump Administration issued an Executive Order on “Strengthening Customs Enforcement,” a significant escalation in the federal government’s effort to police trade fraud and duty evasion. The Order focuses first on accountability: importers of record would face stricter bonding, asset, ownership-disclosure, and “good standing” requirements, making it harder for shell companies […]
On May 29, 2026, Massachusetts Attorney General Andrea Joy Campbell filed suit against UnitedHealthcare, alleging that the nation’s largest insurer manipulated the health statuses of MassHealth members to extract inflated payments from the state’s Medicaid program. The complaint estimates the scheme cost MassHealth at least $100 million. The allegations are stark. According to the AG’s […]
DOJ just sent a message to anyone with information about fraud on federally funded benefits programs: We want to hear from you, and we're ready to act fast. Yesterday, DOJ's Civil Division announced reforms to accelerate the review of False Claims Act (FCA) whistleblower complaints involving fraud against publicly funded, state-administered benefits programs, including Medicaid, […]
We now live in a world where technology, especially artificial intelligence, permeates most of our daily lives. So it should come as no surprise that the business of fraud is experiencing the same tech-inundation. The perpetrators of fraud, the government investigators of fraud, and the whistleblower watchdogs who report fraud have all taken up the […]
A California-based aluminum importer and its affiliated companies have agreed to settle False Claims Act allegations that they evaded antidumping and countervailing duties on aluminum extrusions imported from China for $549.5 million. On paper, this is one of the largest customs fraud settlements in U.S. history. Let’s take a closer look at this case and […]
Data-mining whistleblowers are no longer a sideshow. They’re rapidly becoming a dominant force in False Claims Act filings. And the Department of Justice has a message: sophisticated analytics are welcome, but speculative pattern-detecting is not. Traditionally, whistleblowers are insiders, generally employees who spot misconduct at work and come forward. Data miners flip that model, using […]
Each year, CMS, the agency that operates Medicaid and Medicare releases an Improper Payment Report, which uses statistics, data analyses, and information learned from government enforcement actions, to estimate the amounts of payments that do not meet CMS program requirement. These include estimated money lost to fraud, but also to negligence, mistake, or other more […]
On April 17, 2026, the IRS Whistleblower Office issued a rare Whistleblower Alert. The alert is brief and informs the public that the IRS is seeking tips about fraud involving “the misuse, diversion or fraudulent use of federal funds and grants by tax-exempt organizations, individuals, and businesses.” It lists examples of wrongdoing including “misclassification of […]
