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The Empire State Strikes Back at Medicaid Fraud: $216M Recovered Under New York’s False Claims Act Over Three-Year Period

January 05, 2022
Medicaid, State False Claims Acts

Takeaway: From 2018 to 2020, the New York False Claims Act yielded an impressive $216,936,354 in recoveries and returned $130,161,812 to New York State’s Medicaid Program.

New York is one of 32 states with its own qui tam statute.[1] Enacted in 2007,

The New Jersey False Claims Act: A Decade of Data Reveal $147M Recovered by the Garden State

September 10, 2021
Federal False Claims Act, Medicaid, State False Claims Acts

Takeaway: Based on data reported by the State Attorney General, New Jersey’s False Claims Act (NJFCA) has been a legislative success. Between 2010 and 2019, the State netted $147 million under the NJFCA, while relators received $8.8 million. Over ten years, the New Jersey Attorney General filed 9 NJFCA cases,

2020 False Claims Act Recoveries: $2.2 Billion in Recoveries and Over $309M in Awards to Whistleblowers

January 18, 2021
Construction, Defense Industry, Federal False Claims Act, Financial Industry, Government Contracts, Healthcare, Investigations, Medicaid, Medicare, Medicare Part D, Pharmaceuticals, Research, State False Claims Acts

Takeaways:

Over $300 million awarded to whistleblowers.
Dip in recoveries reflects pandemic and economic challenges.
Number of FCA filings hits a record.
Healthcare continues to dominate FCA recoveries with kickbacks a major focus.
Rebound in recoveries is likely as defendants regain financial footing.

International Whistleblowing Legislation and America’s False Claims Act

January 06, 2020
Construction, Defense Industry, Federal False Claims Act, Financial Industry, Government Contracts, Medicaid, Medicare, Medicare Part D, Pharmaceuticals, State False Claims Acts

This is the second part of a two-part article.

In the first of this two-part series, we discussed the success of the United States’ federal False Claims Act (FCA),[1] the rise of international whistleblowers through a study of the Michael Epp case,

United States Files False Claims Act Complaint Against Vanguard Healthcare

September 14, 2016
Medicaid, Medicare

The United States has filed a False Claims Act case against Tennessee-based nursing home company, Vanguard Healthcare LLC, as well as Vanguard Healthcare Services LLC, and six of its nursing facilities. See United States vs. Vanguard, et al., case no. 3:16-cv-2380 (M.D.Tenn 2016). The lawsuit alleges that the defendants were responsible for the submission of false claims to Medicare and TennCare (Tennessee’s Medicaid program) for skilled nursing home services that were either non-existent or grossly substandard.