Podcasts about False Claims Act

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Best podcasts about False Claims Act

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Latest podcast episodes about False Claims Act

Employment Law This Week Podcast
#WorkforceWednesday: What Do Federal DEI Crackdowns Mean for Employers?

Employment Law This Week Podcast

Play Episode Listen Later Feb 18, 2026 4:13


Federal agencies are intensifying their scrutiny of workplace DEI initiatives, creating new and complex challenges for employers. Key Takeaways for Employers: EEOC Investigations: The agency is using subpoena power to investigate large companies, alleging that certain DEI practices may amount to systemic race discrimination against white employees. FTC Involvement: The FTC is expanding its oversight into employment, issuing warning letters to law firms about their hiring practices and signaling broader scrutiny. Novel DOJ Liability: The DOJ is applying a new False Claims Act theory, framing some DEI practices by federal contractors as potential fraud against the government. Epstein Becker Green attorneys Susan Gross Sholinsky and Daniella Lee detail these developments in this episode of Employment Law This Week®. Gain the practical guidance needed to assess risk, review external communications, and remain compliant in this evolving landscape. - Visit our site for this week's Other Highlights and links: https://www.ebglaw.com/eltw422 Download our Wage & Hour Guide for Employers app: https://www.ebglaw.com/wage-hour-guide-for-employers-app. Subscribe to #WorkforceWednesday: https://www.ebglaw.com/eltw-subscribe Visit http://www.EmploymentLawThisWeek.com - Epstein Becker Green is a national law firm that focuses its resources on health care, life sciences, and workforce management solutions, coupled with powerful litigation strategies. This video is for informational purposes only and does not constitute legal advice. Viewing this video does not create an attorney-client relationship. EMPLOYMENT LAW THIS WEEK® and #WorkforceWednesday® are registered trademarks of Epstein Becker & Green, P.C. © Epstein Becker & Green, P.C. All Rights Reserved. Attorney Advertising.

Health Law Expressions
Compliance Update 2026!

Health Law Expressions

Play Episode Listen Later Feb 12, 2026 14:49


It's a new year and there have been several new developments on the fraud and abuse front. The Department of Justice has a new division that will be focusing specifically on fraud. Given the recent activities of the DOJ and the OIG, health care organizations are sure to be in the crosshairs of government scrutiny. Among other things, provider enrollment procedures are likely to tighten up and take longer. And the enforcement agencies and whistleblowers continue to bring False Claims Act cases based on the Stark Law, although the constitutionality of the qui tam provisions of the FCA is being challenged in the Courts. Join Dan Mulholland and Henry Casale for this informative update in which they will review these developments and suggest some things you can do to minimize compliance risks in the upcoming months.

Off the Record with Brian Murphy
A reckoning for Medicare Advantage: Inside the Kaiser case with Mary Inman and Liz Soltan

Off the Record with Brian Murphy

Play Episode Listen Later Feb 11, 2026 52:04


Medicare Advantage is undergoing a reckoning ... and that reckoning is coming from within. In January Kaiser Permanente affiliates agreed to pay $556 million to resolve allegations that it violated the False Claims Act by submitting invalid diagnosis codes for their MA Plan enrollees in order to receive higher payments from the government.  The case was instigated by what is known as whistleblowers. Regular listeners might recall my podcast on this topic back in January 2025 with Mary Inman, a Partner at Whistleblower Partners LLP, and Head of International Whistleblower Practice for the firm. We had a fascinating conversation about the process of whistleblowing and New York insurer Independent Health, which agreed in December 2024 to pay $100M to settle allegations it had upcoded claims to inflate MA payment. We've now more than 5x-ed that fine with Kaiser. Per the Department of Justice the claims resolved by the settlement are allegations only and there has been no determination of liability. But it was a major wakeup call for MA. Mary is back for today's show along with her colleague Liz Soltan, a senior associate in the firm's NYC office. Listen in as we discuss: Key terms: What is whistleblowing and the concept of qui-tam? Kaiser case origins which began more than 12 years ago, and Mary and Liz's evolving roles in the case The facts on the ground, as alleged by the whistleblowers and the DOJ, specifically the issue of addenda to the medical record Unfolding of the case, a behind the scenes look as new whistleblowers joined, and reaching of the settlement What can we learn from a medical coding/reimbursement perspective? What can healthcare organizations do to ensure their employees don't blow the whistle and avoid similar fines and headlines? 

Government Contracts Podcasts
Let's Talk FCA: Developments Regarding Constitutional Challenges to the Qui Tam Provisions

Government Contracts Podcasts

Play Episode Listen Later Feb 10, 2026 13:04


In this episode, Jason Crawford, Agustin Orozco, and Will Tucker discuss the latest developments in connection with constitutional challenges to the qui tam provisions since the district court ruling in U.S. ex. rel. Zafirov v. Florida Medical Associates LLC. "Let's Talk FCA" is Crowell & Moring's podcast covering the latest developments with the False Claims Act.

Wisdom. Applied.
Five Ophthalmology Practices See Eye to Eye in False Claims Act Settlement

Wisdom. Applied.

Play Episode Listen Later Feb 10, 2026 4:15


Five ophthalmology practices agreed to pay nearly $6M over alleged kickbacks and unnecessary testing. Learn the FCA risks every physician group must understand.

Health Law Talk
EP #62 — AI in Healthcare — From the Exam Room to the Courtroom

Health Law Talk

Play Episode Listen Later Feb 6, 2026 43:13


Healthcare law is changing faster than ever — and the stakes have never been higher.Health Law Talk, presented by Chehardy Sherman Williams, brings you inside the legal issues shaping healthcare today. Hosted by board-certified health law specialist Conrad Meyer alongside attorney George Mueller, each episode breaks down complex healthcare regulations, enforcement trends, and industry developments into clear, actionable insights.We cover the issues that matter most to healthcare providers, executives, and professionals:• False Claims Act enforcement and fraud & abuse compliance• Physician employment contracts and restrictive covenants• Stark Law, Anti-Kickback Statute, and HIPAA• Healthcare M&A, private equity, and practice transactions• Telehealth regulations and emerging technology in healthcare• AI in healthcare — compliance, liability, and the new state regulatory patchwork• Medical staff credentialing and privileging disputes• Medicare and Medicaid billing and reimbursement• Louisiana healthcare law and Gulf South regulatory developmentsWhether you're a physician navigating a new employment contract, a hospital administrator managing compliance risk, a practice owner evaluating a transaction, or an attorney looking to stay current on healthcare law — this podcast gives you the expertise of a healthcare law team with over 30 years of experience, delivered in a conversational format you can listen to on your commute.New episodes weekly. Based in Metairie, Louisiana, serving healthcare providers across the Gulf South and beyond.

Minimum Competence
Legal News for Fri 2/6 - Trump Draws from Military for Immigration Judges, Karp Connected to Epstein, Uber $8.5m Verdict and Whistleblower Fight over Opioid Funds

Minimum Competence

Play Episode Listen Later Feb 6, 2026 13:05


This Day in Legal History: 20th AmendmentOn February 6, 1933, the 20th Amendment to the U.S. Constitution officially went into effect, reshaping the timeline of federal political power transitions in the United States. Commonly known as the “Lame Duck Amendment,” it was ratified just weeks earlier, on January 23, 1933, but became operative on this day. The amendment moved the inauguration dates of the president and vice president from March 4 to January 20 and newly elected members of Congress from March 4 to January 3.This was a significant reform. Previously, there had been a long delay—about four months—between election and inauguration. The result was a period where outgoing officials retained power despite potentially losing their mandates, often leading to inaction and political stagnation. This was particularly problematic during times of crisis. For example, after Franklin D. Roosevelt won the 1932 election, he had to wait until March to take office while the nation was deep in the throes of the Great Depression, and President Hoover remained largely inactive.The 20th Amendment also clarified procedures for what should happen if the president-elect dies before taking office, a scenario not fully accounted for in earlier constitutional provisions. Section 3 addresses this contingency, while Section 4 gives Congress the authority to legislate procedures for succession and emergencies.By speeding up the transfer of power, the amendment reduced the influence of “lame duck” sessions, promoting a more responsive and democratic governance structure. It also underscored a constitutional shift toward greater efficiency in the federal system.The Trump administration has appointed 33 new immigration judges, 27 of whom are temporary, following the dismissal or departure of over 100 judges since Trump's return to office in January 2025. This reshaping of the immigration court system is part of a broader push to increase deportations and speed up case processing. The newly sworn-in judges will serve in courts across 15 states, including Texas, California, and New York.A significant number of the appointees have military experience—half of the permanent judges and all of the temporary ones—reflecting a Pentagon-supported effort to deploy Defense Department lawyers into immigration roles. Critics, including the American Immigration Lawyers Association, argue that the mass firings have severely depleted judicial capacity, especially amid a record backlog of 3.2 million pending immigration cases.The administration is also set to introduce a regulation reducing the time migrants have to appeal deportation rulings from 30 to 10 days. This fast-track process would give the Board of Immigration Appeals greater authority to summarily dismiss appeals, a move likely to draw legal challenges given prior rulings against similar reinterpretations of immigration law.Trump administration names 33 new immigration judges, most with military backgrounds | ReutersBrad Karp has stepped down as chairman of Paul, Weiss, Rifkind, Wharton & Garrison LLP following revelations of his extensive correspondence with Jeffrey Epstein. The emails, released by the Department of Justice, revealed years of personal and professional interaction between Karp and Epstein, including Karp's praise of legal arguments dismissing victims' claims and discussions about sensitive financial matters involving Epstein's associates. Though Karp has not been accused of any criminal wrongdoing, the disclosures created internal and public pressure leading to his resignation.Karp will remain at the firm in a non-leadership role, while corporate department head Scott Barshay has assumed the chairmanship. Barshay is known for high-profile mergers, including deals involving Chevron and Anheuser-Busch. Karp had led the firm since 2008, building its revenue significantly and taking on both corporate defense and progressive political causes.The fallout also reignited criticism over Paul Weiss' controversial 2025 deal with the Trump administration. In that arrangement, Karp brokered pro bono legal commitments in exchange for the rescission of an executive order that limited the firm's federal work—an effort that involved direct lobbying by Robert Kraft and a meeting with Donald Trump.Epstein emails lead Brad Karp to resign as Paul Weiss law firm chairman | ReutersA federal jury in Phoenix has ordered Uber to pay $8.5 million to Jaylynn Dean, who said she was assaulted by a driver at age 19. The trial, the first of over 3,000 consolidated cases, served as a bellwether to assess the legal strength and settlement value of similar claims. The jury found the driver acted as an agent of Uber, making the company liable, but declined to award punitive damages.Dean's lawyers argued Uber knowingly failed to implement safety improvements despite rising reports of assaults. The case highlighted Uber's marketing to women as a safe option, which attorneys said misled passengers about real risks. Dean was intoxicated when she ordered a ride in Arizona in 2023 and was allegedly attacked after the driver stopped the vehicle.Uber denied liability, stating the driver had no criminal record and that the incident was unforeseeable. The company emphasized that it passed background checks and claimed the jury's decision supported its broader safety efforts, though it plans to appeal.The trial has implications for both Uber and Lyft, whose shares dipped following the verdict. Analysts believe the case may lead to enhanced background screening across the ride-hailing industry.Uber ordered to pay $8.5 million in trial over driver sex assault claims | ReutersA legal fight has emerged between a group of U.S. states and pharmacist T.J. Novak, a whistleblower seeking a portion of the $4.7 billion opioid settlement the states reached with Walgreens. Novak previously filed a federal False Claims Act case accusing Walgreens of unlawfully filling opioid prescriptions and billing government health programs. The U.S. government settled with Walgreens for $300 million, including $150 million tied to Novak's claims—earning him a whistleblower payout of over $25 million.Novak now argues that the states' massive 2022 settlement with Walgreens also resolved his state-level claims under their respective false claims statutes, entitling him to additional compensation. The states dispute this, saying their deal addressed public nuisance concerns, not false claims violations. They warn that granting Novak a cut would force courts into a complex and inconsistent analysis across 28 different state laws and could open the door to broad whistleblower entitlements in future state actions.Key states like Rhode Island, North Carolina, and Virginia filed briefs opposing Novak's claim, stressing the differences in statutory frameworks and the nature of the claims resolved. The outcome could impact future whistleblower litigation involving parallel state and federal claims tied to nationwide corporate settlements.States square off with opioids whistleblower over payout from $4.7 billion Walgreens settlement | ReutersThis week's closing theme is by Felix Mendelssohn.This week's closing theme is Lied ohne Worte, Op. 109, by Mendelssohn, a composer whose refined lyricism shaped the early Romantic era. Born in 1809, Mendelssohn was a prodigy who bridged Classical form and Romantic expression with grace and clarity. His Lieder ohne Worte—or “Songs Without Words”—are brief piano pieces that aim to convey the emotional depth of a song, but without lyrics. Op. 109, one of the last in the series, is especially introspective and serene, a quiet farewell rendered in music alone.Today, February 6, holds subtle resonance in Mendelssohn's legacy. Though his death is commonly dated to November 4, 1847, some historical sources using the Julian calendar recorded it as February 6, making this date a quiet point of remembrance in certain circles. In that light, Lied ohne Worte, Op. 109, feels like a particularly appropriate selection—a final musical gesture from a composer who believed some feelings transcend words.It's also a fitting close to a week of heavy stories—legal struggles, political reshuffling, and institutional reckonings. Mendelssohn offers no commentary, just clarity and calm. In the hush of his music, we're reminded that reflection doesn't always need a headline.Without further ado, Lied ohne Worte, Op. 109, by Felix Mendelssohn – enjoy! This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit www.minimumcomp.com/subscribe

Talk Ten Tuesdays
Where Are the Best Coders? A Special Two-Part Series

Talk Ten Tuesdays

Play Episode Listen Later Feb 3, 2026 32:16


What if the solution to healthcare's coding workforce challenges has been hiding in plain sight?During this special two-part Talk Ten Tuesday series, UC Davis Health shares how an innovative neurodiversity-focused coding internship is redefining how talent is identified, trained, and retained. Join Tami McMasters Gomez, Executive Director, for the Mid-Revenue Cycle, Enterprise-Wide Coding and CDI Operations for the University of California Davis Medical Center, when she reports on how this program is unlocking untapped strengths, improving accuracy, and building a more resilient health information (HIM) workforce.This unique conversation will challenge long-standing assumptions about who succeeds in medical coding.If you were responsible for the coding operations of a complex medical center, would you build tomorrow's workforce the same way you do today? Be sure to listen and learn.This popular Internet broadcast will also feature these additional instantly recognizable panelists, who will report more news during their segments:·      POV: Penny Jefferson, Manager of Coding & Clinical Documentation Integrity Services for the University of Davis Medical Center, will share her point of view (POV) during the broadcast.·      CDI Report: Cheryl Ericson will provide an update on clinical documentation integrity (CDI).·      The Coding Report: Legendary Rose Dunn, COO for First Class Solutions, will handle the coding report for Christine Geiger. Rose will report on the latest False Claims Act (FCA) settlement.·      News Desk: Timothy Powell, ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.

Pharma and BioTech Daily
Antibody-Drug Conjugates: Leading Oncology's New Frontier

Pharma and BioTech Daily

Play Episode Listen Later Jan 27, 2026 6:52


Good morning from Pharma Daily: the podcast that brings you the most important developments in the pharmaceutical and biotech world. Today, we'll delve into the multitude of changes and advancements sweeping across the industry, each with profound implications for drug development, patient care, and market dynamics.The pharmaceutical landscape continues to transform as companies like Daiichi Sankyo make significant progress with antibody-drug conjugates (ADCs). Their collaboration with AstraZeneca on products like Enhertu and Datroway represents a robust push into earlier lines of therapy. This strategic move aligns with a broader industry trend where ADCs are being positioned as front-line oncology treatments. These therapies are lauded for their targeted delivery mechanisms that maximize therapeutic efficacy while minimizing off-target effects. However, the competitive landscape is becoming increasingly fierce, necessitating robust clinical data to stand out in this rapidly evolving market segment.Elsewhere, Moderna's recent decision to pause new late-stage trials for infectious disease vaccines highlights the intricate interplay between public sentiment and corporate strategy. The rising anti-vaccine sentiment in the U.S., compounded by diminishing support infrastructure from previous administrations, has significantly influenced Moderna's strategic recalibration. This situation underscores a critical challenge for developers of mRNA platforms: how to navigate complex public perceptions and policy landscapes while pushing forward with vaccine innovations.From a regulatory perspective, Recipharm's commissioning of a new facility in Bengaluru, India for non-bacterial beta-lactam drugs aligns with evolving FDA standards. This investment is not just about compliance; it's a proactive adaptation to meet rising customer demand and represents a strategic partnership with a major biopharmaceutical player. Such collaborations are crucial as they help scale drug production capabilities effectively.The dissolution of the marketing partnership between Arcutis and Kowa over Zoryve reflects the ever-dynamic nature of commercial collaborations within the industry. Originally intended to broaden Zoryve's market beyond dermatologists to include primary care physicians, this shift may indicate strategic realignments or divergent priorities between partners. Such changes can significantly impact market penetration strategies and highlight the importance of aligned goals within partnerships.In Europe, regulatory expansion by GSK of its Arexvy vaccine for all adults marks a pivotal milestone in widening access to crucial vaccines. This development not only enhances GSK's market presence but also underscores the agility required in regulatory responses to public health needs.On the financial front, settlements under the False Claims Act reaching $6.8 billion in FY2025 demonstrate heightened scrutiny on compliance practices within the industry. This serves as a stark reminder of both financial and reputational risks tied to non-compliance and underscores an ongoing need for stringent oversight mechanisms.Amidst economic uncertainties, AstraZeneca's decision to pause its UK research site investment reflects broader industry challenges related to strategic reallocations of resources. Companies are increasingly re-evaluating their geographic footprints and investment priorities in response to evolving market conditions.In precision oncology, Guardant Health's FDA approval for its Guardant360 CDx test in conjunction with Pfizer's Braftovi highlights how companion diagnostics are becoming integral in enhancing therapeutic outcomes through tailoring treatments based on specific genetic profiles. These developments illustrate a multifaceted landscape where scientific innovation, regulatory changes, strategic partnerships, and compliance considerations converge.The recent landscapSupport the show

Monitor Mondays
$556 million False Claims Settlement Rattles Many in Healthcare

Monitor Mondays

Play Episode Listen Later Jan 26, 2026 30:35


While many of you were enjoying the holidays, Kaiser Permanente wasback in the news. This time, another whistleblower case which resulted inan amazing $556 million settlement to resolve allegations that the giantprovider/payer fudged on its Medicare Advantage risk adjustment.Reporting the lead story during the next live edition of Monitor Mondays willbe Liz Soltan, a New York-based senior associate at WhistleblowerPartners. Soltan is a member of the firm's litigation team who representedDr. James Taylor in his landmark False Claims Act (FCA) case againstKaiser Permanente which resolved allegations of Medicare Advantage riskadjustment fraud. Soltan also works on a major Medicare Advantage riskadjustment fraud case against UnitedHealth Group on behalf ofwhistleblower Benjamin Poehling.Broadcast segments will also include these instantly recognizable features: Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM,will be making his Monday Rounds. The RAC Report: Healthcare attorney Knicole Emanuel, partnerat the law firm of Nelson Mullins, will report the latest news aboutauditors. Risky Business: Healthcare attorney David Glaser, shareholderin the law offices of Fredrikson & Byron, will join the broadcast withhis trademark segment. Legislative Update: Adam Brenman, legislative affairs liaison forZelis, will report on current healthcare legislation.

Federal Newscast
Justice Dept recovers money than ever for False Claims Act violations

Federal Newscast

Play Episode Listen Later Jan 20, 2026 6:35


The Justice Department recovered more money through the False Claims Act in fiscal 2025 than ever before. New data says DoJ won $6.8 billion in settlements for healthcare, procurement and tariff fraud. A significant amount of those cases were driven by whistleblowers. DoJ says there were 1,297 qui tam lawsuits filed last year, the highest number in a single year, and the government opened 401 investigations. Of the $6.8 billion in False Claims Act recoveries last year, $5.7 billion related to matters that involved the health care industry. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

FCPA Compliance Report
Navigating Corporate Ethics and Compliance Trends in 2026 with Mike Volkov, Part 2

FCPA Compliance Report

Play Episode Listen Later Jan 19, 2026 25:45


Welcome to the award-winning FCPA Compliance Report, the longest-running podcast in compliance. In this inaugural episode of 2026, Tom Fox welcomes back his good friend and colleague, Mike Volkov, to reflect on the tumultuous year of 2025 and discuss the new trends for the upcoming year. This is Part 2 of a two-part series. This episode delves into the significance of the False Claims Act (FCA) as a critical tool for government enforcement, discussing its constitutionality and potential outcomes before the Supreme Court. The conversation expands to discuss how FCA applies across various areas, such as trade enforcement and tariffs, and how it encourages corporate whistleblowing. Additionally, the discussion highlights the growing role of technology, AI, and ChatGPT in compliance, as well as the risks associated with their use. Other focal points include the importance of conflict-of-interest programs and the impact of ethical conduct on marketplace dynamics. The episode underlines the growing scrutiny from financial institutions and private equity over compliance practices, as well as the long-term trend towards a more ethics-driven corporate culture. Key highlights: Supreme Court and Constitutionality Issues on the FCA Corporate Whistleblowers and DOJ's Stance Technology, AI, and Compliance Risks Conflict of Interest and Ethical Culture Marketplace Accountability and Corporate Reputation Financial Institutions and Due Diligence Resources: Mike Volkov on LinkedIn Volkov Law Group Tom Fox Instagram Facebook YouTube Twitter LinkedIn Learn more about your ad choices. Visit megaphone.fm/adchoices

The Compliance Guy
Season 9 - Episode 403 - From Prosecutor to Defense Counsel

The Compliance Guy

Play Episode Listen Later Jan 15, 2026 45:13


SummaryIn this episode of The Compliance Guy Podcast, host Sean Weiss speaks with Evan Gottlob, a former federal prosecutor turned defense attorney, about the complexities of regulatory compliance in healthcare law. They discuss the decision-making process behind prosecutions, the impact of indictments on healthcare professionals, and the importance of protecting whistleblowers. Evan shares insights on civil investigative demands and the drivers behind False Claims Act cases, emphasizing the need for organizations to build a culture of compliance to prevent legal issues. The conversation highlights the challenges faced by healthcare providers and the legal landscape surrounding compliance and fraud.TakeawaysProsecutors must ensure they have a strong case before charging individuals.Indictments can have devastating effects on healthcare professionals' careers.The grand jury process is often biased towards the prosecution.Complex white-collar cases can be easier to present due to more evidence.Civil Investigative Demands (CIDs) can lead to criminal investigations.Whistleblowers play a crucial role in exposing fraud in healthcare.Organizations must take employee concerns seriously to prevent retaliation.Building a culture of compliance is essential for healthcare organizations.Legal representation is critical when facing investigations.The healthcare industry is plagued by significant fraud and waste.

Torres Talks Trade
Season 3 Episode 4- Trade, Tariffs, and Whistleblowers Part 2

Torres Talks Trade

Play Episode Listen Later Jan 15, 2026 22:01


In this follow-up episode, host Olga Torres continues her deep dive into CBP's enforcement priorities, this time exploring the intersection of customs compliance and the False Claims Act. Joined again by Andrew Miller, they examine emerging trends in FCA enforcement related to trade, including transshipment schemes and misclassified or undervalued imports. They also highlight the growing interagency collaboration and how coordinated efforts are uncovering complex customs and tariff evasion.

This Week in Startups
How to Make Billions from Exposing Fraud | E2234

This Week in Startups

Play Episode Listen Later Jan 13, 2026 65:16


This Week In Startups is made possible by:Netsuite - https://www.netsuite.com/twistLumaAi - https://lumalabs.ai/twistSquarespace - https://squarespace.com/twistToday's show: Government fraud and waste has become a prominent issue in the last month.That's what we are looking at.On Today's episode of TWiST, Jason interviews Alex Shieh of the The Antifraud Company.Under the False Claims Act, enterprising Americans, like Alex, can receive up to 30% of fraud dollars they uncover! Jason digs into the business of fraud with Alex Shieh and how a generational company could be built around it!PLUS Alex Wilhelm and Marcus Brotman take a look at the history of BOOM, $1.5 Billion dollar startup bringing back supersonic commercial travel!Jason first interviewed Blake Scholl almost 10 years ago in 2016. Back then, BOOM was a dream to bringing back supersonic travel. The Concorde's failure, and why BOOM is different, is central to Blake's thinking. What is fascinating is Blake's mindset and vision for the early stages of this future unicorn startup.THEN, Jason answers live Q/A at Founder University Tokyo! In partnership with JETRO, Jason and the LAUNCH team are bringing Founder University to 35 Japanese startups over the next 9 weeks!Timestamps:(00:00) Why the Concorde failed and how BOOM Supersonic is bringing back faster than light travel(08:34) The 30% efficiency rule for Mach 2 flights(11:46) Netsuite - Get the free business guide Demystifying AI at https://www.netsuite.com/twist(17:12) Building million dollar planes on a startup budget(20:22) Luma AI - Stop guessing and start directing with Ray3 Modify from Luma AI, the AI-powered post production tool. Explore it at: https://lumalabs.ai/twist(24:11) The Checklist Manifesto: Lessons for pilots and founders!(26:02) How to build a team that can go supersonic(32:49) Squarespace - Use offer code TWIST to save 10% off your first purchase of a website or domain at https://squarespace.com/twist(33:55) Private Sector Doge: The Anti Fraud Company(38:48) The $500B in Fraud uncovered(48:34) How Alex Shieh's team uses AI to hunt down fraud(52:48) How you can win 30% of exposed fraud with the false claims Act(56:27) Founder University Tokyo Q&ASubscribe to the TWiST500 newsletter: https://ticker.thisweekinstartups.comCheck out the TWIST500: https://www.twist500.comSubscribe to This Week in Startups on Apple: https://rb.gy/v19fcp*Follow Lon:X: https://x.com/lons*Follow Alex:X: https://x.com/alexLinkedIn: https://www.linkedin.com/in/alexwilhelm/*Follow Jason:X: https://twitter.com/JasonLinkedIn: https://www.linkedin.com/in/jasoncalacanis/*Thank you to our partners:(11:46) Netsuite - Get the free business guide Demystifying AI at https://www.netsuite.com/twist(20:22) Luma AI - Stop guessing and start directing with Ray3 Modify from Luma AI, the AI-powered post production tool. Explore it at: https://lumalabs.ai/twist(32:49) Squarespace - Use offer code TWIST to save 10% off your first purchase of a website or domain at https://squarespace.com/twistCheck out all our partner offers: https://partners.launch.co/

Simply Trade
New Year, New Tariffs, New Enforcement: What 2026 Has in Store with Braumiller and Tuttle

Simply Trade

Play Episode Listen Later Jan 9, 2026 38:16


Hosts: Andy Shiles & Lalo Solorzano Guest(s): Adrienne Braumiller, Founder, Braumiller Law Group George Tuttle III, Founder, Tuttle Law Offices Published: January 2026 Length: ~41 minutes Presented by: Global Training Center

IEN Radio
LISTEN: Aerospace Firm Pays $1.5M for Pushing Shoddy Ejection Seat Parts

IEN Radio

Play Episode Listen Later Jan 8, 2026 2:04


https://www.ien.com/operations/video/22957901/aerospace-firm-pays-15m-for-pushing-shoddy-ejection-seat-partsTeledyne Electronic Safety Products (Teledyne ESP), an aerospace and defense electronics company based in Chatsworth, California, has agreed to pay $1.5 million to settle allegations it sold parts to the Department of Defense that were not up to contract specifications.The firm's False Claims Act violations can be traced back to the manufacture of Digital Recovery Sequencer (DRS) units used in ejection seat systems. The devices, which were developed to replace the Analog Recovery Sequencer used in similar systems on F-15, F-16, F-22, A10, B-1B and B-2 aircraft, are critical. They precisely sequence functions including pilot escape, seat stabilization and parachute deployment.

Compliance into the Weeds
Matt's Key Compliance Issues and Trends to Watch in 2026

Compliance into the Weeds

Play Episode Listen Later Jan 7, 2026 32:28


The award-winning Compliance into the Weeds is the only weekly podcast that takes a deep dive into a compliance-related topic, literally going into the weeds to explore it more fully. Looking for some hard-hitting insights on compliance? Look no further than Compliance into the Weeds! In this episode of Compliance into the Weeds, Tom Fox and Matt Kelly discuss key issues Matt is following in 2026. They look into anticipated FCPA enforcement actions against Chinese telecom giant ZTE and the controversial indictment of SmartMatic, raising concerns about possible politicization of compliance enforcement. The conversation also covers the potential impact on whistleblower cases if key Qui Tam lawsuits under the False Claims Act are invalidated, as well as the ongoing federal-state conflict over AI regulations. Additionally, they touch on the financial complexities and risks associated with AI funding deals, drawing parallels to past financial crises. Compliance officers are advised to prepare for an uncertain and challenging regulatory landscape in the year ahead. Key highlights: FCPA Enforcement in 2026 The Future of Qui Tam Lawsuits Federal Preemption of State AI Laws AI Accounting and Financial Risks Resources: Matt in Radical Compliance Tom Instagram Facebook YouTube Twitter LinkedIn A multi-award-winning podcast, Compliance into the Weeds was most recently honored as one of the Top 25 Regulatory Compliance Podcasts, a Top 10 Business Law Podcast, and a Top 12 Risk Management Podcast. Compliance into the Weeds has been conferred a Davey, a Communicator Award, and a W3 Award, all for podcast excellence. Learn more about your ad choices. Visit megaphone.fm/adchoices

Transcending Home Care
Business Development Compliance Horror Stories.

Transcending Home Care

Play Episode Listen Later Jan 6, 2026 30:25


Send us a textWhat happens when marketing incentives, pressure and poor training cross the compliance line? Nothing good. In this episode, Tony Kudner is joined by healthcare attorney Kate Proctor to unpack real-world “horror stories” where hospice marketing practices triggered False Claims Act risk – and how leaders can avoid the same mistakes. 

The Wright Report
31 DEC 2025: US Housing Boom (Credit Deportations!) // Dirty Green Retreat // Trump's New Asylum Strategy // White House Uses Sneaky Law to Crush DEI // "Traitor" Tim Walz: Somali Fraud Update

The Wright Report

Play Episode Listen Later Dec 31, 2025 19:40


Donate (no account necessary) | Subscribe (account required) Join Bryan Dean Wright, former CIA Operations Officer, as he dives into today's top stories shaping America and the world. In this New Year's Eve Headline Brief of The Wright Report, Bryan delivers major economic updates, exposes collapsing green energy narratives, explains the White House's aggressive new asylum strategy, and revisits the explosive Somali fraud scandal in Minnesota that is now dominating national politics. He closes with a reflection on truth, power, and why elites work so hard to stop Americans from asking hard questions. Good News for Your Wallet: Pending home sales jumped 3.3 percent in November, the strongest showing in three years, driven by rising wages and lower mortgage rates. Rents are falling across most major cities, creating the most renter-friendly market in at least a decade. HUD data shows that two-thirds of rental demand came from the foreign-born, meaning deportations and self deportations are directly increasing housing supply and lowering prices for native born Americans. The Cheap Labor Myth Collapses: After more than two and a half million illegal migrants have left the country, GDP and wages are rising while rents and crime fall. Bryan argues Americans were lied to for decades by elites who claimed cheap foreign labor was necessary. The data now shows the opposite, and he calls the moment revolutionary. Green Energy Reality Check: China's renewable energy boom is largely a mirage, with many wind and solar projects never connected to the grid. Beijing is simultaneously expanding coal plants across Southeast Asia. Global wind speeds and solar efficiency are declining, and Japan is restricting solar farms for environmental and aesthetic reasons. Bryan says the global green movement is now in retreat. Trump's New Asylum Strategy: The White House is canceling large numbers of asylum claims and sending others to third countries like South Sudan or Palau while cases are reviewed. The administration says most asylum claims are fraudulent and designed to exploit loopholes. Democrats accuse Trump of abandoning human rights. DOJ Targets DEI Programs: The Justice Department is using the False Claims Act to pressure federal contractors to dismantle Diversity, Equity, and Inclusion programs. Companies must either eliminate DEI or face massive fines for defrauding the government. Universities Face a Financial Shake-Up: The Trump administration wants universities and venture capital firms to share profits from taxpayer-funded research. Commerce Secretary Howard Lutnick is pushing for equity stakes or cash returns when patents are commercialized. Elon Musk Enters the Midterm Fight: Despite past clashes with Republicans, Elon Musk says he will spend hundreds of millions of dollars to help the GOP keep Congress. He cites fears of Democrat censorship, economic control, and what he calls ideological extremism. Minnesota's Somali Fraud Scandal Explodes: Federal investigators say Somali-run nonprofits defrauded taxpayers of at least nine billion dollars through fake daycares, autism services, food programs, and Medicaid scams. Money funded luxury lifestyles, Islamist terror groups, and Democratic campaigns. Governor Tim Walz halted earlier investigations after activists accused the state of racism. A Somali academic told the New York Times that fraud is culturally encouraged, a statement Walz has avoided addressing. Bryan explains why Elon Musk now calls the governor "Traitor Tim." A New Year's Reflection: Bryan closes by urging listeners to reject elite deflections and keep demanding the truth. He argues that the real battle ahead is not left versus right, but truth versus lies, and promises that this podcast will continue to challenge power with facts, logic, and reason in the year ahead.   "And you shall know the truth, and the truth shall make you free." - John 8:32     Keywords: pending home sales rent decline deportations, cheap labor myth wages GDP, China coal expansion fake green energy, Trump asylum third country policy, DOJ False Claims Act DEI, university patent profit sharing Lutnick, Elon Musk GOP midterms funding, Minnesota Somali fraud nine billion dollars, Tim Walz investigation, al Shabaab terror funding

Corporate Crime Reporter Morning Minute
Wednesday December 31, 2025 Aesculap to Pay Nearly $40 Million to Settle False Claims Act Charges

Corporate Crime Reporter Morning Minute

Play Episode Listen Later Dec 31, 2025 1:00


Wednesday December 31, 2025 Aesculap to Pay Nearly $40 Million to Settle False Claims Act Charges

We Get Work
Four Legal Trends Impacting Higher Education Institutions

We Get Work

Play Episode Listen Later Dec 18, 2025 23:52


From 'illegal DEI' to union activity to False Claims Act risks, the past year has been a flurry of activity and high-stakes changes for higher education institutions. It is critical for universities and colleges to strike a balance between compliance with federal anti-discrimination laws and upholding their mission statements and maintaining an inclusive culture for students and faculty alike.  

Federal Drive with Tom Temin
Trump administration looks to False Claims Act to curb cybersecurity violations

Federal Drive with Tom Temin

Play Episode Listen Later Dec 15, 2025 9:05


Over the past year, there's been a major uptick in the government's use of the False Claims Act to take companies to task for cybersecurity violations. The Trump administration has announced six separate False Claims Act settlements. And enforcement has been especially aggressive for companies who do business with the Defense Department. Sara McLean is a former assistant director of the fraud section in the Justice Department's Commercial Litigation Branch. She talked with Federal News Network's Jason Miller about the enforcement trend.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Stark Integrity
From Probe Audit to False Claims Act Liability (FCA): How Did We Get Here?

Stark Integrity

Play Episode Listen Later Dec 3, 2025 22:19


Send us a textAudit results could lead to False Claims Act liability (FCA). In this episode, Captain Integrity Bob Wade talks through audits and potential FCA liability under the Stark Law. Hear why you should do probe audits, when you need to take corrective action, how to avoid the draconian fines & penalties under the FCA, famous cases involving the FCA, and not-so-funny examples of things that go from bad to very ugly. Learn more at CaptainIntegrity.com

Off the Shelf
The compliance environment in GovCon

Off the Shelf

Play Episode Listen Later Dec 2, 2025 43:34


Zach Terwilliger and Alex Canizares, partners with Vinson & Elkins, join Off the Shelf, for a wide-ranging discussion of the current compliance environment for government contractors.Terwilliger discusses current Department of Justice priorities relating to criminal and civil enforcement and what government contractors should be focusing on. He and Canizares also provide their insights regarding the Trump administration's approach to the False Claims Act highlighting the interplay with procurement polices like CMMC. The duo also shares their thoughts regarding the administration's Civil Rights Fraud initiative and its implications for contractors.Terwilliger and Canizares also share key FCA trends and provide their best practices for compliance. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Robots and Red Tape: AI and the Federal Government
CMMC, Cyber, and the Cost of Compliance with Sandeep Kathuria

Robots and Red Tape: AI and the Federal Government

Play Episode Listen Later Dec 2, 2025 42:41


In this episode of Robots and Red Tape, Nick Schutt talks with Sandeep Kathuria — partner at Ice Miller, 15+ year government contracts attorney, and one of the few people who's been in the room since the very first DoD cyber rules in 2009 — about the brand-new CMMC program that became contractually enforceable in November 2025. We break down: The 6½-year journey from DFARS 7012 to the final CMMC rule Exactly what Level 1, Level 2, and (eventually) Level 3 require Why self-attestation is gone and third-party certification is mandatory The assessor bottleneck (100+ accredited worldwide) and how to get in line Real workarounds small companies are already using (store CUI on your prime's compliant system) False Claims Act landmines around inflated SPRS scores Whether all this new red tape will actually scare innovators away from DoD work If you touch DoD contracts in any way — prime, sub, or supplier — this is required listening. Channel: @RobotsandRedTapeAI | Host: Nick Schutt Subscribe so you don't get locked out of your next RFP.

Monitor Mondays
The Feds Blow the Whistle: A $45 Million Wound Care Settlement

Monitor Mondays

Play Episode Listen Later Dec 1, 2025 31:50


The False Claims Act (FCA) suit was initiated by the U.S. government, not a traditional whistleblower. Nonetheless, the recent $45 million settlement with a Florida physician and his wound care group – Vohra Wound Physicians Management LLC – resolved allegations that group knowingly submitted claims to Medicare for medically unnecessary yet lucrative surgical procedures, when routine non-surgical wound management had actually been done.  During the next live edition of the long-running Monitor Monday Internet broadcast, famed whistleblower attorney Mary Inman will report the details of the amazing case, as a not-so-subtle reminder that crime doesn't pay.Broadcast segments will also include these instantly recognizable features:·      Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, will be making his Monday Rounds. ·      The RAC Report: Healthcare attorney Knicole Emanuel, partner at the law firm of Nelson Mullins, will report the latest news about auditors. ·      Legislative Update: Matthew Albright, chief government affairs analyst for Zelis, will report on the news happening at the intersection of healthcare and congressional action.·      Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Byron, will join the broadcast with his trademark segment.

HLTH Matters
When Innovation Outpaces Regulation: Brian Bewley on How Law and Investment Are Adapting in Healthcare

HLTH Matters

Play Episode Listen Later Nov 25, 2025 18:15


About Brian Bewley: Brian Bewley advises healthcare and life sciences companies, as well as their investors, on complex regulatory, transactional, and strategic matters. He assists clients in navigating federal and state compliance issues, managing regulatory due diligence, and responding to government audits and investigations. His clients include pharmaceutical and medical device manufacturers, hospitals, health systems, digital health companies, managed care organizations, long-term care providers, and private equity firms.Brian has successfully defended organizations in matters involving the False Claims Act, the Civil Monetary Penalties Law, and audits by HHS OIG and CMS. His experience spans Anti-Kickback Statute and Stark Law compliance, drug pricing issues, and Medicare and Medicaid reimbursement. Before entering private practice, Brian served as senior counsel at HHS OIG and as a special assistant U.S. attorney through the Department of Justice Attorney General's Honors Program.A frequent national speaker on health care regulatory topics, Brian also served as a U.S. Peace Corps volunteer in Burkina Faso, West Africa, where he taught science in French in a rural village.Things You'll Learn: Technological innovation in healthcare and the life sciences is advancing faster than current U.S. regulatory frameworks can keep pace.Shifting federal policies, tariff changes, and agency turnover have created uncertainty and slowed investor activity in the sector.New state-level laws are making it more difficult for private equity and venture capital firms to invest in healthcare.Private capital remains a vital driver of innovation, funding technologies that improve efficiency, precision, and patient outcomes.Investor confidence is beginning to rebound as market conditions stabilize and engagement with policymakers increases heading into 2026.Resources: Connect with and follow Brian Bewley on LinkedIn, or reach out via email.Follow Reed Smith LLP on LinkedIn and visit their website.

Great Women in Compliance
Insights from the 42nd Annual ACI FCPA and Global Anti-Corruption Conference

Great Women in Compliance

Play Episode Listen Later Nov 12, 2025 31:07


In this episode of Great Women in Compliance, co-hosts Lisa Fine and Hemma Lomax get a special preview of the 42nd Annual ACI Conference on the FCPA and Global Anti-Corruption. They are joined by two of the conference's distinguished speakers: Sandra Moser, Partner at Morgan, Lewis & Bockius and former Chief of the DOJ's Fraud Section, and Kimberly Parker, Partner and Co-Chair of the White-Collar Defense & Investigations practice at WilmerHale. Sandra and Kimberly share their personal journeys into the white-collar and compliance space, discuss why this conference is a "must-attend" event in the anti-corruption world, and dive deep into their upcoming session topics. Kimberly explores how companies are re-evaluating resource allocation as global priorities evolve, while Sandra tackles the critical compliance challenges of operating in China amid geopolitical tensions. This episode is a must-listen for practical insights on shifting DOJ expectations, the future of compliance, and tips for any first-time attendees  Highlights include: * Sandra and Kimberly's Journeys to Compliance * Spotlight on the ACI FCPA Conference: * Evolving Priorities & Resource Allocation * Navigating Compliance in China * The Future of Compliance Resources:   ACI's 42nd Annual Conference on the FCPA and Global Anti-Corruption (December, Washington, DC - https://www.americanconference.com/fcpa-dc/ * Morgan, Lewis & Bockius: https://www.morganlewis.com/bios/sandramoser * WilmerHale: https://www.wilmerhale.com/en/people/kimberly-parker Biographies Sandra Moser is a corporate investigations authority and trial lawyer who co-leads the firm's global white collar and investigations practice. She is former chief of the US Department of Justice's (DOJ's) Criminal Division, Fraud Section in Washington, DC, and a former Assistant US Attorney (AUSA) for the District of New Jersey. She defends companies, boards, and executives in a wide range of matters—including healthcare and federal program fraud, the False Claims Act (FCA), the Foreign Corrupt Practices Act (FCPA), securities, commodities, and anti-money laundering—involving the DOJ, state attorneys general offices, US Securities and Exchange Commission (SEC), Commodity Futures Trading Commission (CFTC), US Congress, and other domestic and international enforcement agencies. Kimberly A. Parker's practice focuses on white-collar criminal matters, internal corporate investigations, and compliance counseling. Ms. Parker is vice chair of the firm's Litigation/Controversy Department, co-chair of the White Collar Defense and Investigations Practice, and co-leads the Foreign Corrupt Practices Act (FCPA) and Anti-Corruption Practice. Ms. Parker is also co-chair of the firm's Pro Bono and Community Service Committee. Ms. Parker represents clients in a range of criminal and enforcement matters and also provides compliance and governance advice. She has conducted internal investigations in the United States, Asia, Africa, Europe, and Latin America. She has represented companies and individuals in a variety of FCPA enforcement matters. She also regularly counsels clients facing difficult FCPA issues in a variety of business contexts, and assists clients in developing and implementing FCPA compliance programs and conducting FCPA training. She is a regular speaker at FCPA events.

The Compliance Guy
Episode 392 - The Real Role of The Compliance Officer - Daily Dose

The Compliance Guy

Play Episode Listen Later Nov 10, 2025 17:27


SummaryIn this episode, Sean M Weiss discusses the critical role of compliance officers in healthcare organizations, emphasizing their responsibilities, best practices, and the importance of maintaining objectivity and independence. He outlines the do's and don'ts of compliance, highlights essential resources for compliance officers, and stresses the need for separation between compliance, legal, and operations to ensure effective oversight and ethical conduct.TakeawaysThe compliance officer is pivotal in safeguarding organizational integrity.Compliance officers must adhere to laws like the False Claims Act and HIPAA.Regular risk assessments are crucial for identifying high-risk areas.Establishing anonymous reporting mechanisms encourages whistleblowing.Ignoring red flags can expose organizations to significant risks.Objectivity and independence are essential for effective compliance.Resources from OIG and CMS are vital for compliance programs.Separation of compliance from legal and operations is necessary.Fostering a culture of ethical conduct mitigates potential liabilities.Compliance is a continuous process that requires vigilance and adaptation.

Monitor Mondays
DME Supplier Pays $37 Million to Resolve FCA Allegations

Monitor Mondays

Play Episode Listen Later Nov 3, 2025 30:12


Durable medical equipment (DME) supplier Semler Scientific Inc., along with a former distributor, Bard Peripheral Vascular Inc. and its related companies, have agreed to pay $37 million to resolve allegations that they violated the False Claims Act (FCA) by knowingly causing and conspiring to cause the submission of false claims to Medicare for photoplethysmography tests performed using the FloChec and QuantaFlo devices, in connection with the diagnosis of peripheral arterial disease (PAD), according to a report from the U.S. Department of Justice (DOJ).For analysis and context, Mary Inman, partner in the law firm of Whistleblower Partners, will be the special guest during the next live edition of Monitor Mondays.The weekly broadcast will also include these instantly recognizable features:Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, will be making his Monday Rounds.The RAC Report: Healthcare attorney Knicole Emanuel, partner at the law firm of Nelson Mullins, will report the latest news about auditors.Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Byron, will join the broadcast with his trademark segment.Legislative Update: Matthew Albright, chief legislative affairs analyst for Zelis, will report on the news happening at the intersection of healthcare and congressional action.

Federal Drive with Tom Temin
A new fraud initiative puts DEI programs under the government's microscope

Federal Drive with Tom Temin

Play Episode Listen Later Oct 30, 2025 9:04


The Justice Department's civil rights fraud initiative is putting contractors and grant recipients on notice, with demand letters that raise the stakes for DEI compliance and False Claims Act exposure. The risks are real for firms of all sizes. Here with guidance on how companies can prepare is partner at Proskauer and expert in government contractor employment law, Guy Brenner.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

FCPA Compliance Report
The Importance of Outside Counsel in False Claims Act Investigations

FCPA Compliance Report

Play Episode Listen Later Oct 27, 2025 25:49


In this episode, Tom Fox welcomes Arthur Gollwitzer from the law firm of Jackson Walker to discuss the merits of involving outside counsel in handling False Claims Act cases and the nuances of legal compliance. Arthur shares his experiences in avoiding and defending False Claims Act allegations, the significance of hiring specialized investigative counsel early, and the integrity and credibility required in investigative processes. He also offers insights on the implications of AI regulations in Texas, his time as an Assistant US Attorney in the Southern District of New York, and the honor of representing the United States in court. Key highlights: Discussing False Claims Act Importance of Independent Investigations Credibility in Legal Investigations AI and Legal Implications Experience in the Southern District of New York Resources: JacksonWalker Arthur Gollwitzer on LinkedIn Texas 89th Legislature: Key Artificial Intelligence Legislation Tom Fox Instagram Facebook YouTube Twitter LinkedIn For more information on the use of AI in Compliance programs, my new book is Upping Your Game. You can purchase a copy of the book on Amazon.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Employment Law This Week Podcast
#WorkforceWednesday: State Law Trends, “Captive Audience” Ban Clash, Rhode Island Menopause Law

Employment Law This Week Podcast

Play Episode Listen Later Oct 22, 2025 3:43


This week, we're covering an uptick in state-level employment law activity, federal court decisions on “captive audience” bans, and Rhode Island's new menopause accommodation requirements. State Legislative Activity Increases California has introduced new laws on paid sick leave, artificial intelligence, pay equity, and protections for tipped workers. Meanwhile, other states are also rolling out new laws impacting employment practices. Courts Clash Over “Captive Audience” Bans Federal courts have issued conflicting rulings on state restrictions regarding employer-mandated meetings related to union organizing. Rhode Island Enacts First-Ever Menopause Law Through a new amendment to its Fair Employment Practices Act, Rhode Island has become the first state in the country to require employers with four or more employees to accommodate menopause symptoms. - Visit our site for this week's Other Highlights and links: https://www.ebglaw.com/eltw409 Download our Wage & Hour Guide for Employers app: https://www.ebglaw.com/wage-hour-guide-for-employers-app. Subscribe to #WorkforceWednesday: https://www.ebglaw.com/eltw-subscribe Visit http://www.EmploymentLawThisWeek.com This podcast is presented by Epstein Becker & Green, P.C. All rights are reserved. This audio recording includes information about legal issues and legal developments. Such materials are for informational purposes only and may not reflect the most current legal developments. These informational materials are not intended, and should not be taken, as legal advice on any particular set of facts or circumstances, and these materials are not a substitute for the advice of competent counsel. The content reflects the personal views and opinions of the participants. No attorney-client relationship has been created by this audio recording. This audio recording may be considered attorney advertising in some jurisdictions under the applicable law and ethical rules. The determination of the need for legal services and the choice of a lawyer are extremely important decisions and should not be based solely upon advertisements or self-proclaimed expertise. No representation is made that the quality of the legal services to be performed is greater than the quality of legal services performed by other lawyers.

Compliance Perspectives
Josh Drew on What's New with the False Claims Act [Podcast]

Compliance Perspectives

Play Episode Listen Later Oct 21, 2025 11:55


By Adam Turteltaub Despite being a Civil War era statute, the False Claims Act (FCA) always has something new going on.  To find out what's hot these days, we spoke with Joshua Drew (LinkedIn), a former federal prosecutor and chief compliance officer and currently a Member at Miller & Chevalier. Lately, he explains, there has been a steady stream of activity. May:  The Civil Rights Fraud Initiative was announced by the administration and proposes to use the FCA against any federal funding recipient that it believes are operating DEI initiatives that violate antidiscrimination laws. July:  A new working group was created between the DOJ and HHS to focus on healthcare and life sciences.  It encouraged whistleblowers to file action in areas such as Medicare Advantage, drug device and biologics pricing and barriers to patient access, amongst others. August:  A trade task force was created to encourage whistleblowing against tariff violators. All of this occurs against a backdrop of activity by the Administration to identify and fight waste, fraud and abuse. Listen in to learn more about where the Administration is focusing and what compliance teams can learn from recent actions.

The Compliance Guy
Episode 385 - #TerryTuesday - The Future of Telehealth

The Compliance Guy

Play Episode Listen Later Oct 20, 2025 24:36


SummaryIn this episode, Sean M Weiss and Terry Fletcher discuss the current state of telehealth services amidst the ongoing government shutdown. They explore the changes in telehealth regulations since the public health emergency, the challenges faced by Medicare in reimbursing telehealth services, and the implications of the False Claims Act for healthcare providers. The conversation emphasizes the importance of compliance and the need for practices to adapt to the evolving landscape of telehealth.TakeawaysTerry Fletcher celebrated her birthday during the episode.The government shutdown has significant implications for telehealth services.Telehealth regulations have changed since the public health emergency.Only specific diagnoses are currently covered for telehealth under Medicare.Practices must ensure compliance to avoid false claims.The importance of having a telehealth facilitator in healthcare practices.The future of telehealth services remains uncertain post-shutdown.Providers must be transparent with patients regarding telehealth services.The conversation highlights the risks of submitting false claims.Sean M Weiss emphasizes the need for ethical practices in healthcare.

Monitor Mondays
The Lowdown on the Shutdown

Monitor Mondays

Play Episode Listen Later Oct 20, 2025 28:18


This marks the third week of the federal government shutdown: an epic failure of congressional leaders from both political parties who couldn't agree on how fund the government for the fiscal year that began Oct. 1.And now many experts inside and outside of government believe this could be the longest shut down in history, surpassing the previous recordholder, which occurred, ironically, during the first term of President Donald Trump.Reporting on the nuances of the federal government shutdown during the next edition of Monitor Mondays will be veteran ICD10monitor correspondent Timothy Powell. Powell is a regular panelist on the long-running Talk Ten Tuesdays Internet broadcast. In his day job, Powell, a certified public accountant (CPA), is a healthcare consultant.The weekly broadcast will also include these instantly recognizable features:Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, will be making his Monday Rounds.The RAC Report: Healthcare attorney Knicole Emanuel, partner at the law firm of Nelson Mullins, will report the latest news about auditors.Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Byron, will join the broadcast with his trademark segment.Legislative Update: Cate Brantley, senior legislative affairs analyst for Zelis, will report on the news happening at the intersection of healthcare and congressional action.

Monitor Mondays
During Case Management Week: Unpacking Healthcare Cuts

Monitor Mondays

Play Episode Listen Later Oct 13, 2025 59:14


You're invited to go behind the scenes and listen as case managers tell their stories – of long hours, little sleep, and always being ambushed by a bell ringing for help.These unsung heroes of healthcare are receiving their moment in the sun during the next live edition of Monitor Mondays, with a special 60-minute broadcast. The first half of the venerable weekly Internet broadcast will continue to bring you the news and information you've come to rely upon.During the second segment, Patti Velky, American Case Management Association's Board President, will report on the sweeping changes in the newly signed One Big Beautiful Bill Act (OBBBA). The law includes nearly $1 trillion in Medicaid cuts, potentially affecting 12 million people. Changes to state-directed payments and provider taxes could slash hospital funding by $340 billion. With key programs like Disproportionate Share Hospitals (DSHs), telehealth, and Hospital at Home still in limbo, the impact on hospitals, especially in Medicaid expansion and non-expansion states, will be profound. Case management teams will face mounting challenges in discharge planning, amid shrinking resources.Also during the second half of the 60-minute broadcast, Mary Beth Pace, American Case Management Association's Board President-Elect, will report on the one of case management's toughest challenges: difficult discharges. With shrinking resources and limited post-acute options, getting “ready-to-go” patients safely discharged is harder than ever. Mary Beth will share new tactics and practical strategies to help case managers navigate these complex situations.Finally, Adriana Peters, Board President for the Association of Physician Leaders in Care Management (APLCM), will report on how hospitals can turn data into action through the smarter use of metrics, KPIs, and analytics-driven storytelling.The weekly broadcast will also include these instantly recognizable features:Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, will be making his Monday Rounds.The RAC Report: Healthcare attorney Knicole Emanuel, partner at the law firm of Nelson Mullins, will report the latest news about auditors.Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Byron, will join the broadcast with his trademark segment.Legislative Update: Matthew Albright, chief legislative affairs analyst for Zelis, will report on the news happening at the intersection of healthcare and congressional action.

Emerging Litigation Podcast
New and Improved Antitrust Whistleblowing Incentives with Julie Bracker and Dan Mogin

Emerging Litigation Podcast

Play Episode Listen Later Oct 4, 2025 64:19 Transcription Available


What if business insiders could accelerate antitrust enforcement as they have done with other corporate misconduct, like fraud? That's exactly what the Department of Justice is hoping for.In this special episode* of the Emerging Litigation Podcast, I'm joined by Julie Keeton Bracker of Bracker & Marcus and Dan Mogin of Mogin Law to dig into a new program designed to motivate antitrust whistleblowers.They trace the roots of qui tam cases—laws that let private citizens, called relators, bring suits on behalf of the government—and why they remain one of the most powerful tools for uncovering corporate fraud and misconduct. Julie explains historical and modern False Claims Act litigation, and Dan walks us through the machinations of private and public enforcement of antitrust laws, the Sherman Act being the big dog in this fight. Together they describe the Department of Justice's aspirations to bring individuals into the antitrust enforcement game.Along the way, Julie and Dan share lessons from their practices and insights on where whistleblower and antitrust enforcement may be headed next.If you've ever wondered how whistleblowers drive billion-dollar recoveries, or what the rise of antitrust whistleblowing means for businesses and enforcers alike, this episode is worth a listen.Thanks to Julie and Dan for sharing their insights based on decades of practice in two challenging and important areas of law. Tom HagyHost of the Emerging Litigation PodcastP.S. You can also watch this podcast and slide presentation on the HB Litigation News YouTube Channel. *We produced this simultaneously as a CLE webinar, because we're just that clever. Look for it on the CeriFi LegalEdge CLE platform. ______________________________________ Thanks for listening! If you like what you hear please give us a rating. You'd be amazed at how much that helps. If you have questions for Tom or would like to participate, you can reach him at Editor@LitigationConferences.com. Ask him about creating this kind of content for your firm -- podcasts, webinars, blogs, articles, papers, and more. Tom on LinkedIn Emerging Litigation Podcast on LinkedIn Emerging Litigation Podcast on the HB Litigation site

Monitor Mondays
Whistleblowers Bring Total Knee Replacement DME to its Knees

Monitor Mondays

Play Episode Listen Later Sep 22, 2025 28:14


Three whistleblowers brought a durable medical equipment (DME) provider to its knees.In two separate cases, the whistleblowers targeted Exactech, a manufacturer of total knee replacement (TKR) systems, resulting in a settlement of $8 million to resolve alleged violations of provisions of the False Claims Act (FCA).Famed whistleblower attorney Mary Inman, partner in the law firm of Whistleblower Partners, LLP, will report the excoriating details of the settlement during the next live edition of Monitor Mondays.The weekly broadcast will also include these instantly recognizable features:• Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, will be making his Monday Rounds.• The RAC Report: Healthcare attorney Knicole Emanuel, partner at the law firm of Nelson Mullins, will report the latest news about auditors.• Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Byron, will join the broadcast with his trademark segment.• Legislative Update: Cate Brantley at Zelis, will report on the news happening at the intersection of healthcare and congressional action.

Stark Integrity
Reckless Disregard/Deliberate Ignorance Under the False Claims Act: “You Can't Handle the Truth”!

Stark Integrity

Play Episode Listen Later Sep 17, 2025 22:44


Send us a textThe False Claims Act (FCA) has 3 knowledge qualifiers. In this episode, Captain Integrity Bob Wade unpacks the difference between actual knowledge, deliberate ignorance, and reckless disregard as it relates to the Stark Law. Hear why the 3 knowledge qualifiers exist, how risk impacts the False Claims Act, why you have to look at the history with respect to reviews, examples of the knowledge qualifiers with the healthcare compliance context, and that famous line from A Few Good Men. Learn more at CaptainIntegrity.com 

Federal Newscast
Departments of Justice and Homeland Security team up to enforce trade laws

Federal Newscast

Play Episode Listen Later Sep 2, 2025 5:47


The Justice Department and the Department of Homeland Security are teaming up to enforce compliance with trade laws. DHS and DoJ have launched a Trade Fraud Task Force to pursue enforcement actions those who try to evade tariffs and other duties. The cross-agency group will rely on the Tariff Act of 1930, the False Claims Act, and Title 18's trade fraud and conspiracy provisions. The task force is asking for tips from any domestic industries that are harmed by unfair trade practices and trade fraud. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Back to the People
The Lawsuit That Could Reshape Vaccine Injury Accountability Forever, feat. Deb Conrad

Back to the People

Play Episode Listen Later Aug 27, 2025 63:37


Deborah A. Conrad is a physician assistant from Rochester, NY, who was dismissed from United Memorial Medical Center (Rochester Regional Health) in October 2021 after fulfilling her legal duty to report COVID-19 vaccine adverse events to VAERS. She has filed a landmark False Claims Act lawsuit against her former employer, challenging institutional suppression of reporting. As of March 2025, her case has survived a motion to dismiss and has advanced into discovery. Skyhorse

Govcon Giants Podcast
289: Billions in Government Contracts Wiped Out – The Scary Truth Contractors Must Know NOW

Govcon Giants Podcast

Play Episode Listen Later Aug 20, 2025 43:15


In this episode of the Govcon Giants Podcast, I sit down with Larry Sher, a seasoned government contracts attorney with over 30 years of experience, to break down the massive shake-ups happening in federal and state contracting. We're talking about billions in grants and contracts terminated overnight, including 2,100 NIH grants and entire programs at agencies like USAID, DOE, EPA, and FEMA. Larry explains why even small businesses can suddenly find themselves buried under compliance obligations, FAR clauses, and False Claims Act liability the moment they sign that government contract. He pulls back the curtain on how bid protests really work, why the “16% success rate” statistic is misleading, and how corrective actions can keep you in the game. We also dive deep into the Contract Disputes Act, the hidden risks of subcontracting, and how executive orders are creating chaos and uncertainty for contractors. Larry warns about the dangers of signing a contract without understanding the downstream compliance requirements—and how one misstep could cost you millions. Whether you're chasing a state contract for bulletproof vests worth millions, managing a prime contract with subs, or fighting an unlawful grant termination, this episode will open your eyes to the real risks of doing business with the government. And Larry's #1 piece of advice? Come to him before you sign, not after you're already in trouble. Larry's Linkedin: https://www.linkedin.com/in/larry-sher/  Company Website: https://www.winston.com/ 

Great Women in Compliance
LATAM Compliance Update with Alejandra Montenegro Almonte

Great Women in Compliance

Play Episode Listen Later Aug 6, 2025 26:18


In this episode of Great Women in Compliance, Lisa speaks with Alejandra Montenegro Almonte, a member at Miller Chevalier. Alejandra is the Chair of their International Practice and Practice Co-Lead, Workplace Culture. They discuss recent regulatory trends, workplace culture, and the evolving compliance landscape in Latin America and the United States, including the increased focus on Foreign Terrorist Organizations, False Claims Act enforcement, and the importance of addressing these changes and others proactively, including the DEI Executive Order requirements. Alejandra also shares her insights about the shift towards addressing workplace culture and conduct issues proactively, and how this has evolved past looking just at litigation risk. She discusses employee engagement and the increasing use of ethical assessments. Alejandra and Lisa reflect on the challenges of building authentic professional relationships in a predominantly remote work environment. They emphasize the need for intentionality, such as scheduling regular virtual coffees and employer-facilitated opportunities for connection, to foster networking and mentorship. Alejandra and Lisa have known each other for a long time, and they discuss the value of the early career friendships that become a peer network. This is harder in a virtual age, and Alejandra shares some of her strategies to build networks.

Compliance Perspectives
Colton Kopcik and Phoebe Roth on AI and the False Claims Act [Podcast]

Compliance Perspectives

Play Episode Listen Later Jul 29, 2025 13:34


By Adam Turteltaub There's always a “but” when it comes to AI. It has great potential, but there's always the risk of bad things happening. In the case of the False Claims Act and healthcare, that's very much the case. In a recent article for Compliance Today – “AI and the False Claims Act: Navigating compliance in the age of automation” -- Phoebe Roth and Colton Kopcik of Day Pitney warn that the same “but” applies to medical coding. AI and coding seem to be a match made in heaven. There is enormous potential for ensuring that bills get processed quickly and all the proper charges are made.  But (of course) plenty of risks come with it. First and foremost, a lack of human oversight can lead small errors to quickly multiply, especially if the AI model was trained on biased historical data or follows patterns of mis-billing. False claims can then can quickly spiral out of control, leading to expensive refunds and settlements. Other areas of risk include telehealth and remote care fraud, especially at a time of increased government scrutiny of medically unnecessary services or improper billing. So what should you do? It is prudent when embracing AI, they warn, to ensure that the algorithm is always up to date on the latest changes to the regulations. Whether the AI was created in-house or by a vendor, be sure there is a plan in place to monitor for changes and make accurate, real-time adjustments. Having in place an AI steering committee is also a good idea. Be sure to include IT, coders, clinical staff, compliance and others. Finally, turn the staff into your front line of defense. Help them be on the alert for potential issues so that you can head off problems before they become big problems. Listen in to learn other ways to manage the “buts” of AI. This podcast is for educational purposes only and does not constitute legal advice. Listen now The Compliance Perspectives Podcast is sponsored by Athennian, a leading provider of entity management and governance software. Get started at www.athennian.com.

Corruption Crime & Compliance
Update on False Claims Act and Customs Evasion Liability

Corruption Crime & Compliance

Play Episode Listen Later Jul 28, 2025 12:09


A competitor could trigger a federal investigation against your company, just by filing a whistleblower complaint about your imports. In this episode, Michael Volkov explores how the Trump Administration is reshaping the enforcement landscape by linking trade compliance and the False Claims Act (FCA) in unprecedented ways. With “trade and customs fraud, including tariff evasion” now a DOJ national priority, companies engaged in international trade face growing legal and reputational risks. A recent Ninth Circuit ruling has only intensified the stakes.You'll hear him discuss:Why DOJ is combining trade enforcement and FCA cases, and what that means for companies that import goods into the U.S.How “reverse false claims” work in the trade context, and why import misclassification, undervaluation, or incorrect country-of-origin declarations are now high-risk areas.Recent high-dollar settlements - including $45 million in one case - where companies paid the price for customs fraud violations.The significance of the Ninth Circuit's decision in Island Industries v. Sigma Corp., which confirmed DOJ's ability to pursue customs fraud claims under the FCA in federal court.How whistleblowers, including competitors, are using FCA claims as a strategic tool in the marketplace, leading to sealed complaints and increased litigation.What companies should be doing now to evaluate and reinforce their trade compliance programs, from reviewing documentation and broker relationships to training and internal reporting.Why ignoring tariff and duty obligations - or failing to investigate them thoroughly - could be seen as deliberate indifference, exposing companies to both civil and criminal liability.ResourcesMichael Volkov on LinkedIn | TwitterThe Volkov Law Group

Great Women in Compliance
The Compliance Pre-Mortem: Together We Can Do Hard Things Well with Jonathan Aronie

Great Women in Compliance

Play Episode Listen Later Jul 23, 2025 48:19


This GWIC episode features a “Great Gentleman in Compliance,” Jonathan Aronie, a leading expert in government investigations and organizational integrity at Sheppard Mullin. Jonathan joins GWIC co-host Hemma Lomax to discuss his career journey, the innovative compliance tool known as the compliance pre-mortem, and the importance of proactive measures in compliance and governance. He also emphasizes the significance of active bystander intervention programs, derived from law enforcement, as highly effective tools for preventing misconduct in organizations. Additionally, Jonathan offers insights into the challenges and benefits of compliance programs, highlighting the need for continuous improvement and strategic empathy in these efforts. The Psychology of Preventative Compliance The ROI of Compliance and Integrity The Concept of Pre-Mortem in Compliance Common Risks and Blind Spots in Compliance Active Bystander Programs vs. Compliance Hotlines Lessons in Compliance and Culture from Policing Building Continuous Improvement Frameworks Jonathan Aronie is a partner in and the former leader of the firm's Governmental Practice, resident in Washington, DC. Jonathan is also a founding member and current leader of the firm's Organizational Integrity Group, a cross-disciplinary team of litigators, regulatory specialists, federal monitors, and ex-prosecutors with extensive experience helping organizations prevent and defend against challenges to their organizational integrity.  Areas of Practice Jonathan counsels and represents large and small businesses in some of the country's most prominent classified and unclassified government contracts matters, including bid protests, claims, self-disclosures, internal investigations, Department of Justice investigations, and False Claims Act investigations. As the leader of the firm's Organizational Integrity Group, Jonathan also spends significant time working with clients to identify and mitigate known and unknown risks before those risks become problems. Jonathan's experience includes litigating under the qui tam provisions of the False Claims Act, conducting early risk-based “legal pre-mortems,” developing and implementing corporate compliance programs, conducting internal investigations (proactive and defensive), and providing advice on the FAR Mandatory Disclosure Rule as well as a variety of federal regulatory and statutory matters. He frequently represents clients before the DOJ, the Government Accountability Office, the General Services Administration, and other defense and civilian agencies. Additionally, Jonathan is cleared at the highest levels and counsels and defends clients in classified matters. Jonathan has authored more than 100 articles and co-authored what is regarded by many as the leading treatise on the GSA Multiple Award Schedule Program, published by Thomson Reuters. He is a regular speaker at national and international forums and CLE programs, including Government-sponsored symposia. He is a regular presenter at Coalition for Government Contracting programs and served on the ABA Task Force that drafted guidance regarding the FAR Mandatory Disclosure Rule. Biography https://www.sheppardmullin.com/jaronie Resources Sheppard Mullin's Organizational Integrity Group Active Bystandership for Law Enforcement Everyone Benefits When An Ethics & Compliance Program Is Integrated Throughout An Organization  Jonathan Aronie on LinkedIn

Think Out Loud
Washington County revises DEI policies for new federal requirements

Think Out Loud

Play Episode Listen Later Jul 21, 2025 23:20


Washington County is revising how it implements diversity, equity, and inclusion policies in order to comply with new federal grant requirements tied to executive orders from President Trump. Local officials say the move is necessary to protect access to $135 million in federal funding that supports housing, infrastructure, and critical services for thousands of low-income residents in the county.   While the move has drawn criticism from community members who worry it signals a retreat from equity commitments, those involved say the change is necessary to avoid potential civil and criminal liability under the federal False Claims Act. The county commission is scheduled to take a final vote to affirm the policy changes Tuesday, July 22. Washington County Board Chair Kathryn Harrington joins us to talk more about the changes that come amid broader questions about how local governments navigate new federal policies.

Becker Group C-Suite Reports Business of Private Equity
False Claims Cases with David Pivnick of McGuireWoods LLP 5-29-25

Becker Group C-Suite Reports Business of Private Equity

Play Episode Listen Later May 29, 2025 12:21


In this episode, Scott Becker talks with McGuireWoods partner David Pivnick about a major constitutional challenge to the False Claims Act, the potential impact on whistleblower lawsuits, and what it could mean for healthcare litigation and government recoveries.