The federal government has been working to make pricey prescription drugs more affordable for the roughly 54.1 million people who are enrolled in the Medicare prescription program, known as Part D.However, prescription drug fraud threatens to cost both the government and individuals suffering from health conditions significant amounts of money. Whistleblowers — working people who witness wrongdoing and courageously report it — can play a key role in protecting both.The government has … [Read more...]
Cybersecurity Whistleblowers Can Be Crucial in Preventing Costly Breaches
Protecting taxpayer money is one of the most important purposes of the False Claims Act. A false claim against the federal government is sometimes clear to see from a whistleblower’s standpoint, such as when unrendered services are billed to Medicare. But cybersecurity is becoming an increasingly important vulnerability for the federal government and the watchful eyes of cybersecurity whistleblowers who understand the complexities of information technology are needed more than ever.This … [Read more...]
California Health Care Worker Minimum Wage: Who Gets Raises, and When?
Delayed raises under the California health care worker minimum wage law finally have a start date: Oct. 16.Some of the state’s lowest-paid healthcare workers were supposed to see bumps in their paychecks starting in summer and stair-stepping up over time to $25 an hour, according to a bill passed late last year (SB 525). But a multibillion-dollar budget deficit led California politicians to delay the increases.Some healthcare facilities reportedly already boosted pay, sometimes prompted … [Read more...]
Medicare Advantage Fraud: Report Says Part C Insurers Pocket Billions Through Risk Adjustment
Medicare Advantage, or Part C, was created with the idea that private insurers could provide more cost-effective healthcare than traditional Medicare. But while the program has become popular — it’s the largest taxpayer-funded health insurance program in the United States with a $450 billion annual budget and more than 31 million participants — it is losing billions to Medicare Advantage fraud.As recent False Claims Act settlements and a recent report in the Wall Street Journal show, one of … [Read more...]
How to Become a Whistleblower: Takeaways from Kathleen Scanlan’s Fraud in America Podcast Episode
If you're considering how to become a whistleblower and expose fraud against the government, understanding the journey ahead is vital. In a recent episode of the Fraud in America podcast, Keller Grover attorney Kate Scanlan, known for her extensive experience with the False Claims Act (FCA), and host Jeb White shed light on what whistleblowers need to know before they make the decision to step forward. Here are some of the key takeaways Kathleen and Jeb offer to help potential whistleblowers … [Read more...]
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