Highlighting important False Claims Act cases that will unfold in 2025, Bloomberg Law sought insight from one of Keller Grover’s founding attorneys, Kate Scanlan. One key case interpreting the Anti-Kickback Statute could shape requirements for how much proof the government or a whistleblower must provide in False Claims Act cases alleging afraud against the U.S. government. Courts have split on the government’s burden to prove causation in a False Claims Act kickback case, with an important … [Read more...]
United States Department of Justice Announces False Claims Act Settlements and Judgments in Fiscal Year 2024 Exceeded $2.9 Billion
On January 15, 2025, the Department of Justice announced that False Claims Act settlements and judgments for the fiscal year ending September 30, 2024 totaled more than $2.9 billion. In making this announcement, Principal Deputy Associate Attorney General Benjamin C. Mizer emphasized the critical role that the False Claims Act plays in guarding against fraud on the government. Continuing a trend over recent years, more than half of the amounts recovered, over $1.67 billion of the $2.9 … [Read more...]
Medicare Advantage Whistleblowers Could Protect the Most Vulnerable Patients: Taxpayers
Alarming patterns keep cropping up in the Medicare Advantage program, and whistleblowers could be key to protecting both patients and taxpayers. More than half of the roughly 100 million Medicare beneficiaries choose this program, which is supposed to offer patients a health plan comparable to traditional Medicare administered by private insurance companies at less cost to the government. The problem: As more and more beneficiaries have elected Medicare Advantage it is proving to be more … [Read more...]
Tariffs, Customs Fraud, and How Whistleblowers Can Help
You’ve probably heard plenty about tariffs lately, including a heavy dose of speculation. What you may not have heard about are the fraudulent measures some companies take in an effort to evade them and essentially get an unfair pricing advantage by defrauding the federal government. If existing tariffs increase or new ones are imposed, we’ll likely see more attempts to evade them, including fraudulent labeling or transshipment, which involves shipping to an intermediate destination that … [Read more...]
Historic Bank Secrecy Act Settlement: Was a Whistleblower Involved?
TD Bank last month became the largest bank in U.S. history to plead guilty to Bank Secrecy Act program failures and to conspiracy to commit money laundering. The dubious distinction came with agreements to pay more than $3 billion in penalties — the largest penalty ever imposed under the act. Internal bank communications showed that employees knew lax internal policies made TD Bank, the nation’s 10th-largest bank, an easy solution for criminal networks. What’s not known: How the … [Read more...]
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