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…
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…
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…
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…
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…
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…
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…
There are serious legal consequences to violating the False Claims Act (“FCA”), particularly in cases involving illegal kickbacks in the healthcare industry, as demonstrated by the $17 million Bard fraud settlement. This settlement resolved allegations that C.R. Bard, Inc. and its affiliates provided unlawful incentives to urology practice groups to influence medical device prescriptions. The lawsuit alleged that Bard and its subsidiaries improperly offered discounts, free samples, and cost-saving benefits…
The integrity of capital markets is paramount to supporting a fair and efficient financial landscape. Fraud and manipulation pose significant threats to the stability and fairness of these markets, potentially undermining investor confidence and economic growth. The U.S. Securities and Exchange Commission (SEC) is a pivotal institution in combating these issues, ensuring markets operate transparently and efficiently. The SEC's Mission The SEC was established in 1934 in response to the…
Blowing the whistle on fraud in the workplace can be a challenging decision, especially when considering the potential for retaliation and financial repercussions. However, the significant impact of the individuals who come forward and file qui tam lawsuits cannot be overstated. That is why Miller Shah LLP is committed to helping clients navigate the complex statutory schemes designed to protect whistleblowers and ensure accountability and integrity. What Is a Qui…
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