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Category Archives: Whistleblowers

June 27

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 13

Whistleblowers

Climate Change Lawsuit Against Oil Companies Clears Legal Hurdle, Signals New Era of Accountability

First-of-its-kind wrongful death suit filed against ExxonMobil, BP, and Chevron, and other oil companies for their involvement in climate change The 2021 Pacific Northwest heat dome was a period of extreme heat that saw temperatures averaging around 121.3 F across British Columbia, Oregon, and Washington state and resulted in an estimated 1,400 deaths, making it the hottest and deadliest heatwave that the Pacific Northwest has ever experienced. A civil lawsuit…

June 12

Whistleblowers

Congress Introduces AI Whistleblower Protection Act to Address Emerging Tech Risks

On May 15, 2025, Senate Judiciary Committee Chair Chuck Grassley (R-Iowa) introduced the Artificial Intelligence (AI) Whistleblower Protection Act with the objective of safeguarding tech employees and whistleblowers in the AI sector. From restrictive severance offers to mandatory non-disclosure agreements, workers in the AI space currently face a myriad of challenges discouraging them from disclosing critical information on working conditions, tech vulnerabilities, and security concerns to the federal government and…

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 28

Whistleblowers, Securities

Why an SEC Whistleblower Lawyer Matters: $6 Million Award Highlights Program’s Power

SEC Whistleblower Lawyers Secure $6 Million Award On April 21, 2025, the Securities and Exchange Commission (“SEC”) announced a $6 million award to joint whistleblowers who disclosed information that launched an examination and provided a clear framework that contributed to a successful enforcement action. “Today’s award illustrates that the agency can leverage whistleblower information in various ways, including by prompting an examination,” said Jonathan Carr, the Acting Chief of the…

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 29

Whistleblowers

Health System Settles for $8 Million Over Healthcare PPP Loan Fraud Allegations

The U.S. Department of Justice has reached an $8.8 million settlement with Carson Tahoe Health System, resolving allegations that the healthcare provider improperly secured Paycheck Protection Program (PPP) loans during the COVID-19 pandemic. According to the DOJ, Carson Tahoe and its affiliates—including Carson Tahoe Physician Clinics and Carson Tahoe Continuing Care Hospital—received four PPP loans despite allegedly exceeding size limits outlined in the Small Business Administration’s (SBA) affiliation rules. What…

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