The Department of Justice (DOJ) announced record recoveries under the False Claims Act in 2025, with reported settlements and judgments totaling over $6.8 billion. This represents the highest single-year recovery figure in the statute’s history. However, the figures in DOJ’s press release require additional context. Understanding the FY 2025 Recovery Figures On January 15, 2026, DOJ released its annual False Claims Act statistics for fiscal year (FY) 2025. DOJ reported $6.8 billion … [Read more...]
False Claims Act Violations in ABA Therapy Treatment for Autism
Applied Behavior Analysis (ABA) therapy has become a widely covered treatment for children diagnosed with autism spectrum disorder, with Medicaid and private insurers spending billions annually on these services. While ABA therapy can provide legitimate benefits when properly administered, recent federal audits have uncovered widespread billing irregularities and compliance failures within the ABA therapy industry, raising questions about whether certain practices violate the False Claims … [Read more...]
How do you prove fraud in a False Claims Act Case
The False Claims Act (FCA) contains procedural mechanisms, including the qui tam provision, which allow private citizens to bring a lawsuit on behalf of the United States government against a person or business that has defrauded the government. Whether dealing with Medicare fraud, defense contract fraud, government contract fraud, customs fraud, or other types of fraud, each scheme has a core of facts. Documents often provide the best evidence for proving fraud, even more than witness testimony … [Read more...]
Whistleblowers needed to report Medicare Advantage fraud targeting veterans
Private insurers have been selling Medicare Advantage (MA) plans specifically aimed at veterans, promising to cover any gaps in U.S. Department of Veterans Affairs coverage. Speaking with an experienced Medicare Advantage fraud whistleblower attorney can help veterans and insiders expose when these promises fall short. That could be great — if the plans ended up providing useful coverage. But a research article published by Health Affairs found that the plans end up with private insurers … [Read more...]
A Proven Fraud Fighting Formula: Whistleblowers + FCA Equals Justice
Fraudsters try a variety of methods to swindle the federal government, crossing industries and contracts, often diverting taxpayer funds to line corporate coffers. Fortunately, the False Claims Act — an old law that still has teeth — broadly prohibits fraud against the federal government and offers a way for courageous False Claims Act whistleblowers to expose it. For example: A sampling of three cases that were recently resolved illustrate the wide range of how the government can be … [Read more...]