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whistleblower 927 articles

Montana’s Kalispell Hospital Network Settles Whistleblower Lawsuit for $24 million

Kalispell Regional Healthcare System of Kalispell, Montana and six affiliates have agreed to pay $24 million to settle allegations stemming from a whistleblower lawsuit that they engaged in an extensive kickback scheme. The government alleged that Kalispell Regional maintained arrangements with referring physicians that violated the Stark Law, the Anti-Kickback Statute, and the federal False Claims Act. U.S. law prohibits hospitals and other health care providers from engaging in kickback arrangements and other schemes that provide money or other gifts for patient referrals. Services billed to Medicare, Medicaid, and other federal health care programs that were influenced by illegal kickbacks ... Read More

DaVita’s HealthCare Partners Pays $270 Million to Settle Medicare Fraud Allegations

HealthCare Partners Holdings, a unit of DaVita Medical Holdings, has agreed to pay $270 million to settle allegations stemming partly from a whistleblower lawsuit alleging the companies caused Medicare to overpay on insurance claims submitted by Medicare Advantage plan providers. According to the U.S. Department of Justice, HealthCare Partners, an independent physicians association based in California, contracted with insurance companies to provide medical services to Medicare Advantage patients. Unlike traditional Medicare, which pays health providers for patient services they provide to beneficiaries, Medicare Advantage Plans are paid a fixed, monthly amount to provide health care to Medicare recipients who enroll ... Read More

SEC Awards Overseas Whistleblower $4 Million

The U.S. Securities and Exchange Commission (SEC) said it has paid nearly $4 million to an overseas whistleblower whose “extensive assistance” helped regulators take a successful enforcement action against the offending company. “Whistleblowers, whether they are located in the U.S. or abroad, provide a valuable service to investors and help us stop wrongdoing,” said Jane Norberg, Chief of the SEC’s Office of the Whistleblower, in a Sept. 24 announcement. “This award recognizes the continued, important assistance provided by the whistleblower throughout the course of the investigation.” September has been an active month for the SEC’s Whistleblower program, which has been ... Read More

Flint Administrator’s Whistleblower Retaliation Suit Revived on Appeal

A former Flint, Michigan city administrator’s whistleblower retaliation complaint against the city has been revived by a federal appeals court. According to Michigan Radio, the U.S. Sixth Circuit Court of Appeals said there’s a key dispute over significant facts in Natasha Henderson’s whistleblower claim that a jury should sort out. “Henderson has mustered sufficient circumstantial evidence of a retaliatory motive to prevent summary judgment,” Circuit Judge Jane B. Stranch wrote in an opinion as part of a three-judge panel, according to MLive. In August 2017, U.S. District Court Judge Sean Cox dismissed Ms. Henderson’s complaint against the city of Flint, ... Read More

SEC Awards 3 Whistleblowers $55.5 Million in Two Separate Cases

The U.S. Securities and Exchange Commission’s (SEC) Whistleblower Office recently announced it has paid out more than $55.5 million to three whistleblowers who assisted regulators in stopping violations, fraud, and other misconduct harming investors. On Sept. 6, the SEC said that it had awarded two whistleblowers who assisted regulators in the same case. One whistleblower will receive a $39 million award – the agency’s second-largest payout to date – and the other will receive a $15 million award for providing “critical information and continued assistance” that helped the SEC crack down on the offending company. On Sept. 14, the SEC ... Read More

Whistleblower Helps Medicare Recover $4 Million From Florida Dermatology Practice

A dermatologist who filed a whistleblower lawsuit against a Florida dermatology practice alleging it defrauded Medicare and Medicaid has helped the U.S. government recover $4 million. Dermatology Healthcare, a Tampa-based provider of dermatology care to residents of assisted living facilities, agreed to settle the government’s claims of fraud, which originated with a False Claims Act lawsuit filed by Dr. Theodore A. Schiff, according to an announcement by U.S. Attorney Maria Chapa Lopez. Dr. Schiff filed the lawsuit under the whistleblower provisions of the False Claims Act, alleging Dermatology Healthcare failed to adequately supervise the administration of superficial radiation therapy to ... Read More

Court Allows Whistleblower Retaliation Suit Against New Mexico DA to Stand

A whistleblower lawsuit against a southern New Mexico district attorney has survived a second attempt by the defendant’s attorneys to get the case dismissed. The Las Cruces Sun-News reports that New Mexico state judge Jarod Hofacket denied a motion by lawyers representing Dona Ana County District Attorney Mark D’Antonio to reject a whistleblower lawsuit brought by Marylou Bonacci, a former office manager at Mr. D’Antonio’s office. According to the Sun-News, Ms. Bonacci claims she was terminated in retaliation for speaking out against corruption and other wrongful conduct she allegedly witnessed in the D.A.’s office. The whistleblower lawsuit, which Ms. Bonacci filed ... Read More

Whistleblower Suit Ends in $21 Million Recovery from Ambulance Kickback Schemers

A sprawling whistleblower lawsuit implicating an ambulance company, its affiliated companies, and several municipal clients in an illegal kickback scheme has been settled, federal prosecutors announced. East Texas Medical Center Regional Healthcare System and East Texas Medical Center Regional Health Services (“the ETMC defendants”) their affiliated ambulance company, Paramedics Plus, and other defendants agreed to pay the U.S. more than $21 million to resolve the allegations, according to the U.S. Department of Justice. The government’s case against the ambulance industry defendants stems from a complaint filed by Dr. Stephen Dean under the whistleblower provisions of the False Claims Act. The ... Read More

Utah Transit Whistleblower Wins Wrongful Retaliation Case

The Utah Transit Authority has been ordered to reinstate and compensate a former employee it fired after he raised concerns about safety violations. Michael Clara, who worked for the Utah Transit Authority as a transit planner, filed a complaint against the transit agency claiming he had been wrongfully terminated for voicing his concerns about alleged violations internally, the Associated Press reported. On Aug. 13, U.S. Department of Labor Administrative Law Judge Lee Romero Jr. ruled in Mr. Clara’s favor, saying the UTA “unlawfully discriminated against Mr. Clara.” The judge ordered the UTA to reinstate Mr. Clara to his former position ... Read More

Whistleblower’s False Claims Lawsuit Recovers $5.25 Million From Lincare

Lincare Inc., a major U.S. supplier of medical oxygen and other respiratory therapies, has agreed to pay the U.S. $5.25 million to settle a whistleblower lawsuit alleging it violated the federal False Claims Act and Anti-Kickback Statute by offering illegal discounts to Medicare beneficiaries. Based in Clearwater, Florida, Lincare operates about 1,000 locations across the U.S. According to a False Claims Act lawsuit filed by whistleblower Brian Thomas and supported by the federal government, Lincare attempted to gain a competitive edge in the marketplace by unlawfully waiving or reducing co-insurance, co-payments, and deductibles for beneficiaries who participated in a Medicare ... Read More