Physician blows whistle on Dignity Health hospital system and neurosurgical group in surgeries by inexperienced medical students

An anesthesiologist and member of the medical staff at Dignity Health, d/b/a St. Joseph’s Hospital, brought a False Claims Act qui tam lawsuit against the hospital and Neurosurgical Associates, LTD, in which he alleged a bait-and-switch scheme whereby patients thought they were undergoing invasive and high-risk surgeries performed by highly regarded and experienced neurosurgeons. However, […]

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Marketing firm Publicis sued by Massachusetts AG for fueling opioid epidemic and getting docs to prescribe more OxyContin

 Massachusetts Attorney General Maura Health sued a global marketing company  Publicis for engaging in unfair and deceptive marketing schemes to help Purdue Pharma sell OxyContinm an addictive painkiller. The work included creating sales training materials and emails and other information distributed to prescribers to “humanize” the OxyContin brand, Healey said. The suit says that the […]

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Large visa fraud scheme results in two companies and nine individuals being indicted including charges for harboring or transporting aliens

An indictment was returned by a federal grand jury in the Southern District of Georgia charging two businesses and nine of their officers and managers located across the country for their roles in an alleged conspiracy to defraud the U.S. government and commit various visa fraud and criminal immigration offenses for profit. According to court […]

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Federal appeals court affirms $111 million jury award to Government in whistleblower case for kickbacks by blood testing diagnostic laboratories

A federal jury has awarded the Government $111 million against two blood testing labs and their sales consultants were hit with a $111 million for knowing and willful violations of the Antikickback statute and False Claims Act (31 U.S.C. § 3729) (FCA). Blood testing labs Health Diagnostic Laboratory (HDL) and Singulex entered into exclusive contracts […]

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Securities and Exchange Commission charges investment advisor with defrauding sports clients for undisclosed fees and high risk investments

The Securities and Exchange Commission charged Douglas Elstun, an investment advisor serving pro athletes, with defrauding his clients with undisclosed fees and misleading them about a high-risk investment strategy. Elston operated registered investment advisor (RIA) Crossroads Financial Management and billed clients annual fees as high as 1.25% of assets under management, above the 1% maximum […]

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Health Net Federal Services LLC pays over $97 million to settle investigation over inflated claims to Dept of Veterans Affairs

Health Net Federal Services LLC has paid $97,237,391 to resolve duplicate and inflated claims submitted to the Department of Veterans Affairs, Acting U.S. Attorney Phillip A. Talbert announced. In 2013, Health Net entered a $5.05 billion contract with the VA under the Patient-Centered Community Care program, which offered private health care to veterans when VA […]

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Senators demand the U.S. Department of Transportation implement whistleblower program previously mandated in 2015

The U.S. Department of Transportation (DOT) has failed to publish rules implementing a Congressionally-mandated auto safety whistleblower program.  Senators Richard Blumenthal (D-CT) and Edward Markey (D-MA) sent a letter to Transportation Secretary Pete Buttigieg demanding that the DOT immediately implement the whistleblower program. “Over the past few years, we have observed increasingly devastating and tragic motor […]

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Telemarketers pay $4 million to end case of soliciting patients and paying telemed docs for prescriptions for compounded drugs for kickbacks

Two telemarket company owners Jack Lee Stapleton and Jack Hunter Stapleton will pay $4 million to end allegations they engaging in schemes to generate prescriptions for compounded drugs and refer those prescriptions to pharmacies in exchange for illegal kickbacks. Many of those prescriptions were billed to TRICARE, the federal health care program providing insurance for […]

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