Massachusetts recently enacted a law that might have major impact on investors in the healthcare industry, notable private equity. House Bill 5159 imposes a new rule on those who invest in healthcare companies in the state, requiring disclosure of False Claims Act violations that the companies they invest in may be liable for, or else […]
In January 2025, Hino Motors Ltd., a subsidiary of Toyota Motor Corporation, agreed to a comprehensive settlement exceeding $1.6 billion with U.S. authorities to resolve allegations of emissions fraud. This resolution addresses both criminal charges and civil claims related to the company's misconduct in falsifying engine emission and fuel consumption data. Of interest to whistleblowers […]
The Department of Justice (DOJ) last week reported nearly $3 billion in recoveries under the False Claims Act (FCA) for fiscal year 2024. These successful FCA cases targeted fraud in healthcare, defense contracting, pandemic relief, and cybersecurity, among other areas. A significant portion, $1.67 billion, came from healthcare fraud cases, including improper billing practices and […]
Last week, the Department of Justice (DOJ) announced a $15.875 million settlement with Booz Allen Hamilton over alleged False Claims Act (FCA) violations involving a scheme to rig Department of Defense (DoD) bids using insider information. The alleged fraud centered on a Booz Allen subsidiary, Booz Allen Hamilton Engineering Services (BES), which supplied military training […]
Right before the holidays, we proudly announced a settlement of up to $100 million with Independent Health, a Western New York-based insurer, and one of its former executives. Several news outlets have since highlighted the settlement and the importance of whistleblowers in the healthcare industry, which is unfortunately a hotbed of fraud. In its case […]
Whistleblower Partners is proud to announce that our client, Teresa Ross, and the United States, have reached a settlement with Independent Health (“IH”), a Medicare Advantage Organization in Western New York, as well as its former subsidiary, DxID, and that subsidiary’s former CEO Betsy Gaffney. The settling parties will pay up to $100 million, with […]
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 National Highway Traffic Safety Administration (NHTSA), the nation’s auto-safety regulator, finalized a new rule for its whistleblower program, which pays monetary awards to auto-industry insiders for providing information about critical safety defects. At long last, auto-safety whistleblowers can know the rules of the road for blowing the whistle. NHTSA’s New Whistleblower Program Rule In […]
Medicare Advantage, or Medicare Part C, is an extremely popular alternate model to traditional Medicare. In traditional Medicare, the government directly pays for services provided, known as a “fee for service” model. Under the Medicare Advantage program, the government contracts with private insurers and pays them premiums to provide coverage for Medicare-eligible beneficiaries. In this […]
Medicare, like many other insurers, often pays doctors a standardized rate based on the service they performed. Open heart surgery costs $Z, a blood test for cholesterol costs $Y, and a physical costs $X. Upcoding is a fraud that centers on healthcare providers submitting improper medical codes to insurers for reimbursement, generally for improperly high […]
