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Category Archives: FCA Qui Tam

August 05

HHS and DOJ Launch Joint FCA Working Group, Signaling New Era in Healthcare Fraud Enforcement

New Federal Task Force Zeroes In on Healthcare Fraud A recent announcement was made regarding a major step toward coordinated enforcement between the Department of Health and Human Services (“HHS”) and Department of Justice (“DOJ”). The U.S. Department of Health and Human Services have announced the formation of a joint False Claims Act Working Group. This collaboration has brought on a significant shift and greater emphasis on False Claim Act…

August 04

FCA Qui Tam, Whistleblowers

Renewed Push for Pennsylvania False Claims Act Builds on Local Successes in Philly and Allegheny County

Bipartisan Efforts to Pass a Statewide Pennsylvania FCA On February 17, 2025, Pennsylvania State Senators Lindsey M. Williams (D-Allegheny) and Kristin Phillips-Hill (R-York) reintroduced SB 38, the Commonwealth Fraud Prevention Act for Taxpayer Accountability (CFPA). This statewide False Claims Act (“FCA”) would build on existing local laws in Philadelphia and Allegheny County that protect public funds and whistleblower rights by allowing Pennsylvania to recover a greater share of funds involving…

July 17

FCA Qui Tam, Whistleblowers

Contractor to Pay $1 Million to Settle Allegations of Overcharging U.S. Air Force

A federal contractor, Noble Supply & Logistics, LLC (“Noble”), has agreed to pay $1 million to resolve allegations that it overcharged the United States Air Force for services provided at Cannon Air Force Base, in violation of the False Claims Act (“FCA”). Defense contractor fraud is one of the oldest forms of fraud and dates back to the very creation of the FCA, which was established to combat defense contractor…

July 11

Whistleblowers, FCA Qui Tam

Nursing Home Fraud Settlement: Cheltenham Rehab to Pay $3.6M for Substandard Care

On June 3, 2025, the Department of Justice (DOJ) announced that the American Health Foundation (AHF), its affiliate AHF Management Corporation, and three affiliated nursing homes, including Cheltenham Nursing & Rehabilitation Center (Cheltenham), have agreed to pay $3.61 million to resolve a False Claims Act case brought by the United States of America. The complaint alleges that AHF defrauded Medicare and Medicaid by billing for non-existent or grossly substandard care.…

July 10

FCA Qui Tam, Whistleblowers

New York Medicaid Fraud: AG James Nets $13M from Fake Medical Transportation Billing

On June 30, 2025, New York Attorney General (NYAG) Letitia James announced that her office successfully investigated 25 transportation companies for billing Medicaid for fraudulent trips, such as nonexistent rides, inflated mileage, and illegal patient kickbacks, securing over $13 million in settlements. How Transportation Companies Committed Billing Fraud Millions of New Yorkers rely on Medicaid and Medicaid-covered services, including transportation to and from healthcare facilities. Unfortunately, some companies have taken…

July 03

Whistleblowers, FCA Qui Tam

DOJ Secures Sentences in $30 Million COVID-19 Unemployment Fraud Scheme

On May 23, 2025, the Department of Justice (“DOJ”) announced that three co-conspirators were sentenced to up to 15 years in prison and ordered to pay restitution after being found guilty of defrauding the Georgia Department of Labor (“GDOL”) of more than $30 million in a COVID-era scheme. Macovian Doston, Shatara Hubbard, and Torella Wynn fraudulently submitted over 5,000 unemployment insurance (“UI”) claims, taking advantage of UI programs expanded through…

July 02

FCA Qui Tam, Whistleblowers

$9.2 Million Healthcare Kickback Settlement Highlights Ongoing FCA Enforcement

A recent $9.2 million settlement by hospice company Creative Hospice Care, Inc. Illustrates the power of the False Claims Act (“FCA”) in combating healthcare fraud. In 2024, the Department of Health and Human Services collected recoveries totaling $1.67 billion from FCA cases. How does the Anti-Kickback Statute intersect with False Claims Act enforcement? The False Claims Act (“FCA”), 31 U.S.C. § 3729, et seq., is a civil war era statute…

July 01

FCA Qui Tam, Whistleblowers

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…

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