Humana Settles $90 Million False Claims Act Lawsuit Over Medicare Drug Plan

After an 8-yearlong battle, the insurance giant Humana agreed to pay $90 million to settle claims that it violated the False Claims Act when it submitted fraudulent bids for Medicare prescription drugs contracts. The allegations claim that by misrepresenting the value of its Part D drug plan, also known as […]

Modernizing Medicine Settles False Claims Act Allegations for $45M

Modernizing Medicine (ModMed), an electronic health record (EHR) technology vendor, will pay $45 million over allegations that it violated the False Claims Act (FCA) by soliciting and receiving kickbacks in exchange for referrals and by causing healthcare providers to submit false claims, the Department of Justice (DoJ) said. The Anti-Kickback […]

Four California Healthcare Providers To Pay $70.7M In False Claims Act Settlements

A California county organized health system (COHS) and three California healthcare providers have agreed to pay a total of $70.7 million in three separate settlements over alleged violations of the False Claims Act (FCA) and the California False Claims Act (CFCA) concerning the submission of false claims to California’s Medicaid […]

Wellman Dynamics To Pay $500,000 For False Claims Act Violations

Wellman Dynamics, an aluminum and magnesium castings manufacturer for the defense and aerospace industry, will pay $500,000 to resolve alleged violations of the False Claims Act (FCA) for failing to conduct contractually required testing and falsifying test results for parts used in military aircraft, the Department of Justice announced Aug. […]

Eli Lilly To Pay Whistleblower $61M For False Claims Act Violations

A federal grand jury ordered Eli Lilly to pay more than $61 million to a former executive of a network of regional drug wholesalers over allegations the drug manufacturer underpaid rebates required under the Medicaid Drug Rebate Program. Under the Medicaid Drug Rebate Program, the rebates drugmakers must pay are […]

Justice Department False Claims Act Settlements Topped $5.6 Billion in 2021

The Justice Department obtained more than $5.6 billion in settlements and judgments from civil cases involving the False Claims Act during the 2021 fiscal year. It was the second largest annual total in the history of cases of fraud and false claims against the U.S. government under the law, and […]

RTX Sets Aside $1.2B for Anticipated Improper Payment Claims

In its financial filing, RTX Corp announced that it is setting aside $1.2 billion in order to satisfy expected deferred prosecution agreements with the Department of Justice and Securities Exchange commission. These anticipated agreements arise from allegations that the aerospace and defense company made numerous improper payments tied to contracts […]

DoJ Secures $2.7 Billion Through False Claim Act Actions In 2023

The U.S. Department of Justice (DoJ) announced that it obtained more than $2.68 billion in settlement and judgements under the False Claims Act. The government and whistleblowers were party to 543 settlements and judgments, the highest number of settlements and judgments in a single year. Recoveries since 1986, when Congress […]

Tampa Cancer Center to Pay $19 Million to Settle False Claims Violations

A non-profit cancer treatment center based in Tampa, Florida has agreed to a settlement with the Department of Justice to resolve charges of False Claims Act violations. The violations result from improper claims submitted to federal healthcare programs for patient care services that were not eligible for reimbursement. The DoJ […]

Booz Allen to Pay $377M for Submitting False Charges to U.S. Government

Booz Allen Hamilton has entered into a settlement agreement with the United States in which it agreed to pay $377.4 million to resolve allegations that it submitted false claims and made false statements to the United States in violation of the False Claims Act (FCA). Under government contracting rules, a […]