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Category Archives: FCA Qui Tam

July 01

HHS–OIG Flags $16.6 B in Healthcare Fraud in the Spring 2025 Semiannual Report to Congress

The Department of Health & Human Services (“HHS”) Office of Inspector General (“OIG”) is responsible for overseeing the department and promoting and maintaining the efficiency, effectiveness, and integrity of its programs. On June 2, 2025, HHS-OIG released its Spring 2025 Semiannual Report to Congress, summarizing HHS activities for the 6-month period between October 1, 2024, and March 31, 2025. The Spring 2025 Report (the “Report”) identified more than $16.6 billion…

June 27

Firm News, FCA Qui Tam, Whistleblowers

Federal Judge Finds PBM Caremark Liable for $95 Million in Generic Drug Overcharges to U.S. Government

PHILADELPHIA, June 27, 2025 -- Miller Shah LLP and Berger Montague PC, on behalf of their whistleblower client, are pleased to announce that on June 25, 2025, a Pennsylvania federal judge found pharmacy benefits manager Caremark and related entities liable for overcharging the government by $95 million for generic drugs provided to Medicare beneficiaries. The case was initially filed in 2014 pursuant to the False Claims Act, which allows private citizen whistleblowers to bring claims on…

June 26

Whistleblowers, FCA Qui Tam

Senators Call for IRS Whistleblower Reforms to Help Catch Major Tax Fraud

Overview In 2006, the Internal Revenue Service (“IRS”) established their Whistleblower Program. The program aims to diminish tax fraud by empowering individuals to come forward and report this potential fraud within their organizations. The program is structured to protect these individuals, or tax fraud whistleblowers, from retaliation, and provide compensational rewards for their contributions if their whistleblowing does lead to the discovery of tax fraud. Since its inception, the program…

June 20

FCA Qui Tam, Whistleblowers

DOJ Files Major Medicare Fraud Lawsuit Against National Health Insurers

Kickback Allegations Against Major Insurers and Brokers On May 1, 2025, the United States filed a False Claims Act (“FCA”), 31 U.S.C. § 3729 et seq., lawsuit against Aetna, Elevance Health (formerly known as Anthem), and Humana – three of the largest insurance companies in the country – as well as eHealth, GoHealth, and SelectQuote – three of the largest insurance broker organizations in the country. The Medicare fraud lawsuit…

June 03

Whistleblowers, FCA Qui Tam

Crypto Whistleblowers and the Unicoin SEC Lawsuit: A Case of Alleged Fraud in the Digital Asset Space

Unicoin and the SEC: A Case of Alleged Crypto Fraud On May 20, 2025, the Securities and Exchange Commission (SEC) commenced a lawsuit against Unicoin, Inc., alleging that the crypto company made fraudulent and misleading statements in connection with the sale and offering of securities called “Unicoin Rights Certificates,” which gave crypto investors the right to receive Unicoin tokens if and when the company decided to produce and distribute the…

May 30

FCA Qui Tam, Whistleblowers

Missouri Man Pleads Guilty in $8.7 Million Genetic Testing Fraud Scheme

On May 29, 2025, Missouri man Jamie McNamara, pleaded guilty to his role in a conspiracy involving fraudulent Medicare claims for unnecessary genetic testing and durable medical equipment (DME), made possible using sham telemedicine consultations. According to the DOJ, McNamara operated laboratories in Louisiana and Texas, which he utilized to enact the scheme. The labs hired telemarketers to call Medicare beneficiaries and convince them to agree to genetic testing and…

May 01

Whistleblowers, FCA Qui Tam

DynCorp Whistleblower: Key False Claims Act Settlements and Protections

Background: DynCorp and the CIVPOL Contract DynCorp International LLC has agreed to pay $21 million to settle False Claims Act allegations of submitting inflated subcontractor charges under the State Department's CIVPOL contract, which tasked the private military contracting company with training Iraqi police forces. DynCorp was originally headquartered in Irving, Texas, and Falls Church, Virginia before being purchased by Amentum, another government contractor with headquarters in Chantilly, Virginia, in November…

April 24

Whistleblowers, FCA Qui Tam

Air Force Contractor Pays $1.95 Million to Settle Air Force Contract Fraud Allegations

False Claims Act Violations in Defense Contracting Government contractor Intelligent Waves, LLC will pay $1.95 million to settle False Claims Act (FCA) allegations arising from Air Force contract fraud related to two Air Force contracts. Intelligent Waves, LLC, which is based in Reston, Virginia, provided crowd-sourced flight data collection support and data analytics to the Air Force pursuant to the Crowd-Sourced Contract it entered in September 2019. The United States…

April 22

FCA Qui Tam, Whistleblowers

Florida Businessman Settles PPP COVID Fraud Case with $20M Consent Judgment

Florida businessman Patrick Walsh agreed to a consent judgement of over $20 million to resolve allegations of COVID fraud and violating the False Claims Act, a federal law imposing liability on people and companies who defraud the government. Walsh, along with 10 companies he owned or controlled, was accused of knowingly submitting false information to support Paycheck Protection Program (“PPP”) and Economic Injury Disaster Loan (“EIDL”) loan applications. The 10…

March 10

Whistleblowers, FCA Qui Tam

Lockheed Martin Fraud Settlement Under False Claims Act

Lockheed Martin Corporation (“LMC”) has recently faced allegations by a whistleblower on behalf of the Department of Defense (“DoD”) over defense contractor fraud under the False Claims Act (“FCA”). The company was accused of not disclosing its knowledge of cost or pricing data in its possession to the Joint Program Office (“JPO”). On February 6, 2025, the DoD announced that LMC had reached a settlement of $29.74 million to resolve…

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