Private equity money is flooding into healthcare in the United States — and with it comes demands for increased profits and the potential for fraud. In 2021, $206 billion was spent on more than 1,400 private-equity healthcare acquisitions, according to industry tracker PitchBook. And research by the University of California-Berkeley found several metropolitan areas where private equity firms have taken over more than two-thirds of the market for anesthesiology and gastroenterology … [Read more...]
Billions in infrastructure spending to combat climate change will need to be protected against fraud
As climate change threatens the United States’ coastlines, the federal government has responded with a wave of spending to support what is being called the “blue economy.” Across nearly 100,000 shoreline miles, from New England to Florida, around the Great Lakes, and across the Gulf and West Coasts, revenue and jobs are generated by a variety of “blue” industries, among them marine transportation, offshore renewable energy, seafood, fishing, and coastal travel and tourism. In 2018, … [Read more...]
Supreme Court declines to hear three False Claims Act cases: What it means for whistleblowers
How much detail do whistleblowers need about false claims made by their employers in order for a case to proceed? That level of particularity is the central issue in three False Claims Act cases the Supreme Court declined to hear in October. The court’s denial of certiorari means one of the cases, against Illinois-based Molina Healthcare, can proceed after the U.S. Court of Appeals for the Seventh Circuit ruled 2-1 in favor of the whistleblower. The other two cases, also alleging fraud by … [Read more...]
In podcast, whistleblower in record Sutter Health settlement describes working with Keller Grover’s Kate Scanlan
Keller Grover LLP attorney Kate Scanlan recently appeared on a podcast with her client Kathy Ormsby, the whistleblower behind a lawsuit against Sutter Health that was settled last year for a record $90 million. In the podcast, Ms. Ormsby describes the frustration and worry after uncovering what she believed was fraud at her workplace and learning her employer would not take steps to correct it. She also discusses how she trusted Ms. Scanlan to take her case. You can listen to the entire … [Read more...]
Time extended to catch PPP loan fraud: Whistleblowers can help return stolen funds
Whistleblowers have played a role in helping uncover billions of dollars in COVID-19 recovery fraud, and it appears the government thinks there's a lot more to claw back. The statute of limitations for civil and criminal fraud enforcement on the Paycheck Protection Program and the Small Business Administration’s COVID-19 Economic Injury Disaster Loan programs were recently extended to 10 years after President Biden signed two bills into law in August. “Anyone who defrauded these critical … [Read more...]
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