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whistleblower 940 articles

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

Whistleblower Doctor Who Led U.S. to $84.5 Million Settlement ‘Risked Everything’

A neuroscientist whistleblower who witnessed corruption within the Detroit-area hospital system where he worked and took legal action despite the serious risks to his career has helped the U.S. government recover nearly $85 million for the Medicare, Medicaid and TRICARE programs. Dr. David Felten filed a False Claims Act lawsuit against William Beaumont Hospitals in 2010 alleging the regional hospital system engaged in improper financial relationships with eight referring physicians, resulting in the submission of false claims to federal health care programs as well as violations of the Anti-Kickback Statute and Stark Law. Dr. Felten, a leading figure in the ... Read More

Another Tesla Whistleblower Files SEC complaint

A second Tesla whistleblower has filed a formal complaint with the U.S. Securities and Exchange Commission (SEC), alleging a Mexican drug cartel operated within the automaker’s Nevada Gigafactory, while others stole $37 million in copper and other raw materials. Instead of properly notifying investors and regulators, Tesla CEO Elon Musk responded to the predicaments by illegally wiretapping and hacking employee cell phones and computers, whistleblower Karl Hansen alleges. Mr. Hansen, who worked for Tesla’s internal security department and investigations division, says he voiced his concerns internally, urging Tesla to take proper action in responding to the issues. But instead of ... Read More

Whistleblower Key in Mississippi Hospital’s $1.1 Million Medicare Fraud Settlement

A Mississippi public hospital has agreed to pay the U.S. more than $1.1 million to settle a whistleblower lawsuit alleging it unlawfully billed Medicare for services patients didn’t need. Grenada Lakes Medical Center, which is operated by the University of Mississippi Medical Center, agreed to settle the government’s False Claims Act allegations accusing the hospital of falsely billing Medicare for medically unnecessary and unreasonable psychotherapy services it provided to beneficiaries of the government health care program. According to the U.S. Justice Department, starting in January 2005 and continuing until April 2013, the Grenada Lakes Medical Center submitted claims for intensive ... Read More

Whistleblower Awarded $17 Million for Exposing Medicare Fraud

A whistleblower who filed a False Claims Act lawsuit against Prime Healthcare Services, one of the nation’s largest hospital chains, and its founder and chief executive officer, has received an award of $17,225,000 for helping the U.S. recover $65 million in Medicare funds. The U.S. Department of Justice said that Karin Berntsen, the former Director of Performance Improvement at Alvarado Hospital Medical Center in San Diego, brought the suit under the whistleblower provisions of the False Claims Act. Ms. Berntsen alleged that Prime Healthcare Services, Prime Healthcare Foundation, Prime Healthcare Management, and CEO Dr. Prem Reddy routinely admitted Medicare patients ... Read More

Jury Sides With Whistleblowers in School Board Retaliation Case

Two whistleblowers who were allegedly fired from California’s Montebello Unified School District (MUSD) in East Los Angeles in retaliation for calling out “lies, fraud, and corruption” within the Board’s leadership have been awarded more than $3 million. A Los Angeles Superior Court jury heard the whistleblower retaliation complaint, brought by Susanna Contreras Smith the ex-superintendent of the school district, and Cleve Pell, the district’s former operations officer, in June 2017. The plaintiffs argued they were wrongfully fired for standing up to cronyism and other misconduct by then-Board of Education and Chief Business Officer Ruben J. Rojas. Lawyers for the whistleblowers ... Read More

SEC Proposes Changes to its Whistleblower Program

The Securities and Exchange Commission (SEC) has proposed a series of changes to its whistleblower program that the agency says will boost the efficiency and overall performance of its informant-driven enforcement actions. The SEC added the proposed amendments to the whistleblower program to the Federal Register July 20. The changes would provide the SEC with additional tools to ensure that whistleblowers are appropriately rewarded for their efforts, the agency said. The SEC also proposed ways to increase efficiency in the whistleblower claims review process and to clarify the requirements for whistleblower anti-retaliation protections. The SEC’s whistleblower program was established by ... Read More

Whistleblower Blows Open Medical Device Fraud Scheme

A whistleblower who sued medical device maker AngloDynamics on behalf of the U.S. government was instrumental in recovering millions of dollars in Medicare, Medicaid, and other government health care funds, the U.S. Justice Department said. Whistleblower Ryan Bliss, who formerly worked in the marketing departments of AngloDynamics and affiliated firm Biocompatibles, filed the False Claims Act lawsuit alleging the companies unlawfully peddled the LC Bead as a drug-delivery device for chemotherapy patients – a use that the U.S. Food and Drug Administration (FDA) refused to approve twice. According to the whistleblower complaint, AngloDynamics routinely made false and misleading marketing claims ... Read More