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3,592 articles from the Compliance & Enforcement Brief.
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What is over the Horizon in Procurement Fraud, Claims and Appeals, and Bid Protests?
Seventh Circuit Revives FCA Suit Despite Disagreeing on Materiality
Years of Internal Complaints Sufficient to Put Employer on Notice of Possible FCA Action; United States District Court for the Middle District of Florida No. 2:21-cv-207-SPC-MRM, Amber Rucker v. Great Dane Petroleum Contractors Inc.
Allegations Publicly Disclosed Even Though Newspaper Accounts Did Not Specifically Cry Fraud; United States District Court for the Western District of Virginia No. 5:19-cv-00004, U.S. ex rel. William Sanders, et al. v USAA Federal Savings Bank, et al.
Seventh Circuit Reverses Ruling on Knowledge Element, Finding Defendant Had to Know High-Cost Services Were Material to High Capitation Rate; United States Court of Appeals for the Seventh Circuit No. 20-2243, U.S. ex rel. Thomas Prose v. Molina Healthcare of Illinois Inc. and Molina Healthcare Inc.
Dissent: Materiality Not Shown Where Defendant Failed to Provide One Service Out of Many Possible Services; United States Court of Appeals for the Seventh Circuit No. 20-2243, U.S. ex rel. Thomas Prose v. Molina Healthcare of Illinois Inc. and Molina Healthcare Inc.
False Claims Act Spotlight (2 of 3): Recent Proposed Amendments to the FCA Fall Short of Cohesive and Substantive Change
Federal Court Permits Government Intervention in FCA Case After Seven Years After Finding “Good Cause”
Questioning Disgorgement Remedies in Light of the U.S. Supreme Court’s AMG Capital Management, LLC v. FTC Decision
Court Can Infer Conspiracy When Kickback Allegations Heavily Dependent on Cooperation Among the Defendants; United States District Court for the District of Kansas No. 17-2060-DDC-KGG, U.S. ex rel. Thomas Schroeder v. Medtronic Inc. and Hutchinson Regional Medical Center
Stark Law Changes for Group Practices
Renewable Energy and Low-Carbon Technologies: Anti-Corruption Lessons Worth Billions
Diminished Medical Services May Be “Worth Less” but not Worthless; United States District Court for the Eastern District of Pennsylvania, No. 16-1218, Sarah Taylor v. Comhar Inc.
Recent False Claims Act Settlement Illustrates Key Role of Whistleblowers in Rooting Out PPP Fraud
Whistleblower Lawsuit Yields Second Largest Medicare Advantage Settlement – $90 Million
Relators Fail to Show Army Relied on Allegedly Misleading Pricing for FMS Contracts, but Claims Based on Ethics Noncompliance Can Proceed; U.S. District Court for the Northern District of Alabama, Northeastern Division No. 5:13-cv-00830-AKK, U.S. ex rel. Philip Marsteller and Robert Swisher v. Lynn Tilton et al.
Sixth Circuit Lacked Jurisdiction to Vacate Holding Not Certified for Interlocutory Appeal; United States District Court for the Eastern District of Michigan, Southern Division, No. 2:10-cv-13440, U.S. ex rel. David Felten M.D. v. William Beaumont Hospitals, et al.
Let’s Talk Compliance Recap: Provider Relief Fund Reporting Requirements & Compliance Concerns
Recent Enforcement Settlements Highlight Continued Scrutiny of Quality and Manufacturing Issues
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