Recent Trends in False Claims Act Litigation

Recent trends in False Claims Act litigation show high rates of settlement, increases in damage awards, and a high prevalence of health care defendants. At Price Armstrong, we think these trends indicate a future push to hold health care fraudsters accountable through whistleblower False Claims actions.

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Whistleblower Gets $24 Million in First Ever Award From National Highway Traffic Safety Administration

The National Highway Traffic Safety Administration recently awarded its first-ever whistleblower award to a former Hyundai safety engineer who brought allegations of faulty engine designs against Hyundai and Kia. Kim Gwang-ho, the whistleblower, received $24.3 million for reporting the defective engines.

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The False Claims Amendment Act Turns 35–A Look at its Past, Present, and Future

The False Claims Amendment Act of 1986 recently celebrated its 35th anniversary. This monumental law helped revitalized the Civil War-era False Claims Act to help better prevent fraud through the use of private whistleblowers.

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DOJ Launches New Civil Cyber-Fraud Initiative–Implications for False Claims Act

The DOJ’s recently announced Civil Cyber-Fraud Initiative seeks to revitalize the False Claims Act and empower whistleblowers to eliminate new and emerging forms of cyber-fraud.

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Defense Contractor Hit with Potentially More than $100 Million in Damages Following Huntsville Jury Verdict

A recent Huntsville jury verdict is sending a clear message to defense contractors across the nation: fraudulent defense contracts with the U.S. are likely to result in harsh consequences. On September 24, 2021, a federal court jury found a defense contractor liable for fraudulently inducing the U.S. Army into military contracts with Saudi Arabia, El

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Telemedicine Fraud — Notable Cases and the Role of the Whistleblower

Not only has the use of telemedicine risen to unprecedented levels during the Covid-19 pandemic, but the Centers for Medicare and Medicaid Services (CMS) decided to relax Medicare coverage rules regarding telemedicine last year. As a result, telemedicine represents a relatively uncharted frontier in the health care industry, offering hopes of increased access and care

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Opportunities for Medicare Fraud Abound in Telemedicine; Qui Tam Whistleblowers Cases Will Likely Increase

During the Covid-19 pandemic, the number of Medicare fee-for-service (FFS) beneficiaries using telemedicine skyrocketed by 13,000%, according to CMS administrator Seema Verma. In fact, during a single three-month span in 2020, over 9 million Medicare FFS beneficiaries utilized some form of telehealth services. While the opportunity for increased medical access afforded by telemedicine is great,

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Recent Healthcare Fraud Developments — September 2021

Medicare fraud is as prevalent as ever, with billions of taxpayer dollars lost each year. However, recent developments show that the Department of Justice (DOJ) has renewed its emphasis on aggressively pursuing healthcare fraud through the False Claims Act (FCA) and recovering tens of millions of dollars in settlements for whistleblowers. Bayada Settles FCA Lawsuit

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Sutter Health to Pay $90 Million in Record Medicare Advantage Whistleblower Settlement

Sutter Health, the largest hospital system in Northern California, agreed last week to pay $90 million to settle recent allegations of Medicare Advantage fraud. This is the second largest Medicare Advantage fraud settlement ever reported and the largest such settlement brought under the False Claims Act. Between 15-30% of this amount will go to the

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Billing Fraud Recent Developments

Oglethorpe Inc. and Cardiologist Dinesh Shah settle billing fraud claims brought through the False Claims Act.

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