Podcasts about False Claims Act

Have you hear of the False Claims Act? This whistleblower statute recovers $2–6 billion per year for taxpayers. But most of us have never heard of it. Well, If you report fraud against the government (a "qui tam" action) and the government recovers, the whistleblower receives 15–25% of the recovery.Sam Buffone is our guest on this episode of Fraudish, he is whistleblower attorney and founder of the Buffone Law Group. Sam spent 9 years at the Department of Justice and helped recover $3 billion in civil fraud enforcement. Kelly met him at the Maryland ACFE conference after being impressed by his last-minute fill-in presentation.Sam describes his role as a translator: whistleblowers come to him feeling gaslit, with scattershot observations, and he packages their experience into something that speaks the government's language and directs investigative attention. Cases routinely take years. He works on contingency (no recovery = no fee), which is essential since whistleblowers rarely have the budget to fight corporations.Sam doesn't advertise. Whistleblower clients are scared, isolated, and often don't even know whistleblower attorneys exist as a specialty. He relies on referrals to find the right clients. Whistleblower Programs to KnowSam closed with a rundown of the major programs:False Claims Act — government/healthcare fraud (qui tam)SEC — securities fraudCFTC — commodities and crypto fraudIRS — tax fraudFinCEN — financial crimes, sanctions evasionDOJ Antitrust — illegal cartels (growing)DOJ Criminal Division — catch-all programNHTSA — auto safety/recall issuesResources & References MentionedGoing Infinite by Michael Lewis (FTX/SBF)Who Is Government? compiled by Michael Lewis (long-form essays on public servants)The Big Short (film)My Cousin Vinny — Sam's pick for most legally accurate movieMichael Clayton (film)Tyler Schultz (Theranos whistleblower)James Holzrichter (whistleblower case)Erin BrockovichConnect with Sam BuffoneBuffone Law Group— whistleblower and civil fraud enforcement. Sam encourages anyone who sees something wrong to reach out; initial consultations are free given the contingency model.Links mentioned: https://en.wikipedia.org/wiki/My_Cousin_Vinnyhttps://www.taf.org/https://www.justice.gov/criminal/criminal-vns/case/united-states-v-catherine-kissick

The United States has poured billions into the United Nations to fund relief works, but not all that money goes where you might think. Years of impunity have allowed murder, rape, kidnapping and fraud to flourish in the UN system, yet the UN Secretary General and his team have stonewalled investigations, invoked "privileges and immunities" to shield employees, and protected the worst of the worst. And then there's UNRWA, where investigations report as many as 1,500 employees are members of Hamas, some of whom participated directly in the October 7th attacks on Israel. The USAID Inspector General, operating independently from the State Department, is digging into the corruption and fraud buried inside the UN system and within its ranks. In a break from our usual call for Congress to do its job, we're giving credit where it's due: Members are shining a light on this issue but while Congress requires vetting when writing checks to these agencies, legal requirements are regularly ignored by both Republicans and Democrats in the Executive Branch. The UN's broad "privileges and immunities" have become a cover for taxpayer funded grift and a shield for inexcusable crimes. What can be done to support these investigations? And why continue funding UN agencies with a proven record of violating American law and American national security? Adam Kaplan is the acting Associate Deputy Inspector General at the U.S. Agency for International Development. He works with senior administration officials and Congress to ensure effective oversight of U.S.-funded foreign assistance, with a focus on preventing fraud, corruption, and diversion of humanitarian aid by terrorist organizations. Specializing in oversight of billions of dollars in foreign assistance to Gaza and Ukraine, Adam works with U.S., bilateral, and multilateral agencies to ensure that OIG's criminal investigators have access to information necessary to conduct their criminal, civil, and administrative investigative work. Prior to this role, Adam served as OIG's deputy general counsel, supporting criminal investigators and the Department of Justice on criminal investigations, False Claims Act cases, and suspension/debarment actions. Read the transcript here.Subscribe to our Substack here.

Introducing FOCUS (Fraud Oversight through Careful Use of Statistics).  The U.S. Department of Justice (DOJ) has launched a new initiative in response to the surge in False Claims Act qui tam filings by data miners.Today, roughly 45 percent of DOJ cases involve FCA data miners. You and your team will learn the inside story of this new initiative along with news of two significant data miner-initiated cases: a $6.73 million settlement against a California vascular physician who billed Medicare for unnecessary stent procedures at 30 times the national average; and a $300,000 settlement against three Illinois skilled nursing facilities that billed Medicare for unnecessary and inflated rehabilitation services.Reporting this dramatic story will be whistleblower attorney and a partner in the New York office of Whistleblower Partners, Hamsa Mahendranathan. 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. ·      Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Byron, will join the broadcast with his trademark segment.·      Legislative Update: Adam Brenman, senior legislative affairs liaison for Zelis, will report on current healthcare legislation.

Jackie Papish, Partner, Barnes & Thornburg LLP, speaks with Brandon Helms, Shareholder, Hall Render Killian Heath & Lyman PC, about issues that arise during delays in Department of Justice (DOJ) investigations under the False Claims Act (FCA). They discuss potential reasons for these delays and what they mean for providers in terms of time and cost; how a 2023 case from the Fifth Circuit, United States ex rel. Aldridge v. Corporate Management, Inc., illustrated excessive DOJ delays; whether Congress intended for these kinds of delays when it passed the modern FCA; and possible ways to improve the system. Brandon recently co-authored an article in Health Law Connections magazine about this topic. From AHLA's Hospitals and Health Systems and Fraud and Abuse Practice Groups.Watch this conversation: https://www.youtube.com/watch?v=IuEj2w0wlTsRead the Health Law Connections article: https://www.americanhealthlaw.org/content-library/connections-magazine/article/e157919b-1308-48af-b1a0-d41f1dba2f66/Behind-the-Seal-Why-DOJ-Investigations-Drag-On-and Learn more about AHLA's Hospitals and Health Systems Practice Group: https://www.americanhealthlaw.org/practice-groups/practice-groups/hospitals-and-health-systemsLearn more about AHLA's Fraud and Abuse Practice Group: https://www.americanhealthlaw.org/practice-groups/practice-groups/fraud-and-abuseEssential Legal Updates, Now in AudioAHLA's popular Health Law Daily email newsletter is now a daily podcast, exclusively for AHLA Comprehensive members. Get all your health law news from the major media outlets on this podcast! To subscribe and add this private podcast feed to your podcast app, go to americanhealthlaw.org/dailypodcast.Stay At the Forefront of Health Legal EducationLearn more about AHLA and the educational resources available to the health law community at https://www.americanhealthlaw.org/. 

In the latest episode of Five Questions, Five Answers, host Birgit Matthiesen is joined by ArentFox Schiff colleagues Jackson David Toof and Mario A. Torrico for a conversation on the False Claims Act (FCA), its origins, and its continued importance as a tool to combat fraud against the federal government. The discussion examines how US Customs and Border Protection (CBP) and the US Department of Justice (DOJ) are increasingly using the FCA to pursue customs fraud and trade violations, the significant business and reputational risks companies face, and the compliance missteps that commonly lead to enforcement actions. It also highlights the importance of proactive compliance strategies for managing FCA exposure. Takeaways - The FCA is a long-standing and powerful enforcement tool. - FCA enforcement by CBP and the DOJ is increasing sharply. - FCA violations pose serious financial and reputational risks for importers. - Compliance exposure most often arises from classification, valuation, and country‑of‑origin errors. - Proactive compliance programs offer both risk reduction and competitive advantage.

In this podcast, shareholders Lauren Hicks (Indianapolis/Atlanta) and Chris Near (Columbia) walk federal contractors and subcontractors through the key compliance obligations triggered by Executive Order (EO) 14398 and the FAR Council's guidance implementing it. Lauren and Chris break down the new contract clause requirements, False Claims Act implications, and what the “known or reasonably knowable” standard means for prime contractors managing their supply chains. The speakers finish with practical takeaways on auditing internal DEI programs, mapping subcontractor exposure, and preparing for tight contract modification deadlines.

Send us Fan MailFalse Claims Act settlements (FCA): they just keep getting bigger. In this episode, Captain Integrity Bob Wade details the notable False Claims Act settlements for 2025. Hear how qui tam cases continue to represent the largest source of settlements through the Department of Justice (DOJ) and False Claims Act, what it means if the government declines to intervene, why medical necessity continues to be a very large focus, a shocking settlement involving a physician, and fun examples of things that just keep getting bigger. Learn more at CaptainIntegrity.com 

What employers should know about key developments this week: ·       False Claims Act Exposure: The Department of Justice's (DOJ's) Civil Rights Fraud Initiative is scrutinizing any entity that contracts with or receives funding from the federal government whose diversity, equity, and inclusion (DEI) practices may violate the False Claims Act. ·       April 25 Deadline for Federal Contractors: A new executive order requires federal contractors and their subcontractors to certify that they will not engage in discriminatory DEI programs. Federal contractors must act now to meet the looming compliance deadline. ·       Multifront Enforcement Risk for All Employers: Private employers should also take note—investigations, subpoenas, and contract obligations are hitting from multiple directions, often before litigation even begins, as the DOJ and the Equal Employment Opportunity Commission signal aggressive enforcement of anti-discrimination laws. In this episode of Employment Law This Week®, Epstein Becker Green attorneys Leah Brownlee Taylor and Lauri F. Rasnick unpack the administration's escalating DEI enforcement actions. Visit our site for this week's Other Highlights and links: https://www.ebglaw.com/eltw431 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.  

Episode 82 Is Qui Tam Unconstitutional? The False Claims Act's Constitutional Reckoning The qui tam provision of the False Claims Act has turned whistleblowing into a $6.8 billion-a-year industry. And now, the Constitution might be coming to collect. Host Matt Adams is joined by his Fox Rothschild colleagues Joe DeMaria and Morgan McCall Reece to dissect whether private relators wielding government power without government accountability violates Article 2 of the U.S. Constitution. Since the Civil War, the False Claims Act has allowed private individuals to file lawsuits on behalf of the government, pocketing 15-30% of recovered funds. When the government declines to intervene, which happens in 75-85% of cases, these unelected, unappointed private relators step into the shoes of a civil prosecutor without meaningful executive oversight. Joe traces the constitutional fault line back to Justice Scalia's dissent in Morrison and then-Attorney General William Barr's 1989 memorandum declaring the qui tam statute unconstitutional. Morgan breaks down the Appointments Clause and the Vesting and Take Care Clauses at the center of the fight, zeroing in on whether relators are functioning as "inferior officers" exercising significant authority without executive appointment or supervision. Matt, Joe and Morgan predict where this is ultimately headed: the Supreme Court, with a potential role by the 11th Circuit. With qui tam litigation serving as big business for the government, relators and law firms alike, don't miss this thought-provoking discussion. The views expressed in this podcast are those of the participants and should not be considered the views of Fox Rothschild LLP or its attorneys. This podcast is for informational purposes only, is not legal advice, and does not create an attorney-client relationship.

The administration is reframing DEI compliance as a matter of “economy and efficiency” in federal contracting. FortneyScott attorneys Elizabeth Bradley, Nita Beecher, and Adriana Joens unpack EO 14398, explain how it differs from EO 14173, and explore the new certifications, new contract clauses, and new exposure. This episode also examines how EO 14398 reshapes risk for prime contractors and subcontractors alike, including the real possibility of False Claims Act enforcement.Contact Fortney & Scott:Tweet us at @fortneyscottFollow us on LinkedInEmail us at info@fortneyscott.comThank you for listening!  https://www.fortneyscott.com/

This episode explores the complex landscape of SLAPP suits against whistleblowers, including strategies for protection, legal defenses, and the evolving legal protections. Experts Clay Weier and Grace Park share insights on how whistleblowers can navigate and defend against retaliatory lawsuits. Fraud in America is made possible by the generous donation of Getnick Law, a boutique Manhattan law firm dedicated to fighting fraud and promoting business integrity. ------------------Fraud in America Social Links

Send us Fan MailBeware of the enemy within. In Part 2 of this 2-part episode, Captain Integrity Bob Wade talks cybersecurity and the False Claims Act (FCA) with returning guest and Nelson Mullins Partner Bart Daniel. Hear how to guide outside contractors through certification, why you need to monitor & protect any vulnerabilities as they arise, how to disclose any shortcomings when discovered & be cooperative, where cybersecurity fits in the Top 3 enforcement priorities for the False Claims Act, and how to go about vulnerability testing. Learn more at CaptainIntegrity.com 

Federal contractors have been required to comply with the Trump administration's mandate to remove anything that is considered diversity, equity and inclusion for the past 15 months. But under President Donald Trump's new executive order, signed last week, vendors face harsher penalties that could include False Claims Act lawsuits as well as possible suspension and debarment. For more on why this new order goes further than previous efforts, Federal News Network executive editor Jason Miller joins me to discuss.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

A recent False Claims Act case is raising an important question for CDI professionals: what if the diagnosis is clinically valid, but the process behind it is challenged? During the next live edition of the popular Talk Ten Tuesdays podcast, Dr. Robert Oubre, director of CDI and UM at St. Tammany Health System, will report on a motion for summary judgement on a case (Smith vs Mercy Health) on how malnutrition documentation and electronic medical record (EMR) workflows came under scrutiny. Dr. Oubre will also discuss the role of AHIMA guidance and the importance of compliance oversight. This is a must listen for CDI, coding, and compliance leaders.The 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 during the broadcast.·      CDI Report: Cheryl Ericson will provide an update on clinical documentation integrity (CDI).·      The Coding Report: Christine Geiger will report on the latest coding news.·      News Desk: Timothy Powell, ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.

Civil Procedure: Are qui tam suits under the False Claims Act unconstitutional delegations of federal enforcement powers to private actors? - Argued: Wed, 18 Mar 2026 11:13:41 EDT

Based on AHLA's annual Health Law Connections article, this special ten-part series brings together thought leaders from across the health law field to discuss the top ten issues of 2026. In the tenth episode, Jennifer Smith, Partner, Wright Lindsey & Jennings LLP, speaks with David O'Neal, Partner, Parker Hudson Rainer & Dobbs LLP, about the current landscape of federal civil rights enforcement in health care. They discuss DOJ's Civil Rights Fraud Initiative, the government's use of the False Claims Act to enforce civil rights laws, investigations of large educational institutions, and enforcement related to conscience and religious freedom protections. From AHLA's Health Care Liability and Litigation Practice Group.Watch this episode: https://www.youtube.com/watch?v=fRt4rt2wIecRead AHLA's Top Ten 2026 article: https://www.americanhealthlaw.org/content-library/connections-magazine/article/a879dda5-35f9-46fb-ad45-1b0799343d74/Health-Law-Forecast-2026Access all episodes in AHLA's Top Ten 2026 podcast series: https://www.americanhealthlaw.org/education-events/speaking-of-health-law-podcasts/top-ten-issues-in-health-law-podcast-seriesLearn more about AHLA's Health Care Liability and Litigation Practice Group: https://www.americanhealthlaw.org/practice-groups/practice-groups/health-care-liability-and-litigation Essential Legal Updates, Now in AudioAHLA's popular Health Law Daily email newsletter is now a daily podcast, exclusively for AHLA Comprehensive members. Get all your health law news from the major media outlets on this podcast! To subscribe and add this private podcast feed to your podcast app, go to americanhealthlaw.org/dailypodcast.Stay At the Forefront of Health Legal EducationLearn more about AHLA and the educational resources available to the health law community at https://www.americanhealthlaw.org/. 

Cybersecurity enforcement is entering a new phase – one where technical failures are increasingly reframed as fraud risk.   This episode of The Data Chronicles explores how the U.S. Department of Justice is using the False Claims Act to pursue alleged misrepresentations about cybersecurity controls, compliance, and incident disclosure in government contracts and grants.   We examine emerging enforcement patterns, practical risk signals for contractors, and what organizations should be doing now to reduce exposure, with further insights available in our 2026 False Claims Act Guide.

Send us Fan MailCybersecurity and the False Claims Act (FCA) have more in common than you think. In Part 1 of this 2-part episode, Captain Integrity Bob Wade talks cybersecurity and the False Claims Act with returning guest and Nelson Mullins Partner Bart Daniel. Hear the history of the False Claims Act, fascinating stats on whistleblowers, the impact of Trump's executive order on cybersecurity from June 2025, the certifications needed in cybersecurity, and some delicious candy bar history. Learn more at CaptainIntegrity.com 

Aetna is just the latest in a long list of healthcare entities to settle False Claims Act (FCA) allegations with a massive settlement.The insurer, one of the nation's largest, recently agreed to pay $117.7 million to resolve a case involving purportedly inaccurate and untruthful diagnosis codes to increase payments. That and other recent U.S. Department of Justice (DOJ) actions will take center stage during the next edition of Monitor Mondays, when featured speakers will weigh in on striking recent trends related to such developments. Settlements and judgments under the FCA totaled $6.8 billion in the most recent full fiscal yar, an all-time record, with 84 percent of the recoveries related to matters involving the healthcare industry. 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. •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 liaison for Zelis, will report on current healthcare legislation.

Friday March 20, 2026 Aenta to Pay $11.5 million to settle False Claims Act Charges

Based on AHLA's annual Health Law Connections article, this special ten-part series brings together thought leaders from across the health law field to discuss the top ten issues of 2026. In the ninth episode, Kathy Roe, Managing Attorney, Health Law Consultancy, speaks with Judy Waltz, Partner, Foley & Lardner LLP, about the current areas of uncertainty surrounding Medicare Advantage (MA). They discuss why some MA Organizations (MAOs) are withdrawing plans, Humana v. Becerra and the potential impact on Risk Adjustment Data Validation audit processes and calculation of overpayment recoveries for MAOs, potential MAO network provider exposure under the False Claims Act, and what potential changes to MA might be on the horizon. From AHLA's Payers, Plans, and Managed Care and Regulation, Accreditation, and Payment Practice Groups.Watch this episode: https://www.youtube.com/watch?v=Az0cUVAjnFIRead AHLA's Top Ten 2026 article: https://www.americanhealthlaw.org/content-library/connections-magazine/article/a879dda5-35f9-46fb-ad45-1b0799343d74/Health-Law-Forecast-2026Access all episodes in AHLA's Top Ten 2026 podcast series: https://www.americanhealthlaw.org/education-events/speaking-of-health-law-podcasts/top-ten-issues-in-health-law-podcast-seriesLearn more about AHLA's Payers, Plans, and Managed Care Practice Group: https://www.americanhealthlaw.org/practice-groups/practice-groups/payers-plans-and-managed-care Learn more about AHLA's Regulation, Accreditation, and Payment Practice Group: https://www.americanhealthlaw.org/practice-groups/practice-groups/regulation-accreditation-and-payment Essential Legal Updates, Now in AudioAHLA's popular Health Law Daily email newsletter is now a daily podcast, exclusively for AHLA Comprehensive members. Get all your health law news from the major media outlets on this podcast! To subscribe and add this private podcast feed to your podcast app, go to americanhealthlaw.org/dailypodcast.Stay At the Forefront of Health Legal EducationLearn more about AHLA and the educational resources available to the health law community at https://www.americanhealthlaw.org/. 

This Day in Legal History: Poll TaxOn March 19, 1962, Congress approved a constitutional amendment to abolish the poll tax in federal elections, a practice that had long been used to suppress voter participation. The poll tax required citizens to pay a fee before casting a ballot, which disproportionately affected low-income individuals, especially African Americans in the South. By removing this financial barrier, Congress took a clear step toward expanding access to the democratic process. The amendment was later ratified as the Twenty-Fourth Amendment, cementing the principle that voting should not depend on one's ability to pay. This change reflected the growing influence of the civil rights movement, which pushed lawmakers to confront systemic inequality in voting laws. It also signaled a broader shift toward recognizing voting as a fundamental right rather than a conditional privilege.The legal reasoning behind abolishing the poll tax focused on fairness and equal protection, emphasizing that economic status should not determine political participation. Courts and lawmakers increasingly viewed such barriers as incompatible with democratic ideals. This moment in legal history continues to shape debates about what constitutes an undue burden on voters.Today, discussions around the SAVE Act, which proposes strict voter identification requirements, have raised similar questions about access and eligibility. Supporters argue that identification rules protect election integrity, despite there being no evidence of widespread voter fraud. Critics warn that they may disproportionately affect certain groups, including those with limited access to documentation. The comparison to the poll tax debate lies in how both policies raise concerns about whether procedural requirements might exclude eligible voters. While the mechanisms differ—one being a direct financial cost and the other an administrative requirement—the underlying legal tension remains similar. Lawmakers and courts must again weigh the balance between safeguarding elections and ensuring that access to voting remains broad and equitable.The Third Circuit heard arguments in a high-stakes appeal involving a $1.6 billion False Claims Act (FCA) verdict against Johnson & Johnson and broader challenges to the law's constitutionality. The FCA is a federal law that allows the government to pursue individuals or companies that defraud federal programs. It also lets private whistleblowers file lawsuits on the government's behalf and share in any financial recovery.Judges appeared reluctant to dismantle the FCA's whistleblower, or qui tam, mechanism, though they engaged seriously with arguments questioning its validity. Much of the discussion focused on whether private individuals wield too much power by bringing fraud claims on behalf of the government. An attorney for business groups argued that this structure improperly grants executive authority to non-government actors, while judges pushed back by pointing to the long historical use of such actions.A central issue in the case was “materiality,” meaning whether the alleged misconduct actually influenced the government's decision to pay claims. J&J argued there was no proof that its actions affected payment decisions, but the judges suggested that such determinations are typically left to juries. They also questioned whether J&J had properly preserved certain legal arguments for appeal. The Department of Justice disputed J&J's interpretation of its position, emphasizing that the evidence could still support liability under the FCA.The panel also examined the role of evidence and jury instructions, particularly how jurors were told to evaluate whether improper marketing led to false claims. J&J criticized the “substantial factor” standard used at trial, arguing it was unclear and insufficient. In response, the whistleblowers' counsel maintained that J&J was seeking a stricter standard than the law requires. Judges appeared to wrestle with whether the instructions properly guided the jury without overcomplicating the burden of proof.Overall, the arguments revealed judicial skepticism toward sweeping constitutional attacks on the FCA, alongside concern about how the specific trial was conducted. The case highlights ongoing legal debates over the balance between encouraging whistleblowers and ensuring fair limits on liability.Key Details As 3rd Circ. Ponders FCA's Fate, $1.6B J&J Fine - Law360Music company BMG has sued AI firm Anthropic, alleging it used copyrighted song lyrics from artists like Bruno Mars, the Rolling Stones, and Ariana Grande to train its Claude chatbot without permission. The lawsuit claims this involved copying hundreds of protected works, possibly sourced from unauthorized platforms, and seeks significant damages under U.S. copyright law.The case is part of a broader wave of lawsuits against AI companies over training data practices, including a similar ongoing suit by other music publishers and a prior $1.5 billion settlement Anthropic reached with authors. While BMG argues this use is unlawful infringement, AI companies like Anthropic maintain that training models on such material qualifies as fair use because it transforms the content.BMG sues Anthropic for using Bruno Mars, Rolling Stones lyrics in AI training | ReutersA Second Circuit judge sharply questioned OpenAI's position in a copyright dispute with Raw Story, expressing frustration that the company's lawyer could not explain whether its AI system copied articles or removed copyright management information (CMI). The judge suggested that this lack of clarity weakened OpenAI's argument, especially at an early stage without full discovery.OpenAI argued the case should be dismissed because the plaintiffs failed to show concrete harm or properly allege infringement, emphasizing that removing CMI alone does not violate a protected property right. The company also claimed the complaint relied too heavily on speculation rather than specific facts about how its systems operate. However, the judges appeared skeptical, noting that factual questions about copying and CMI removal might need further development.Raw Story countered that copying articles without CMI is itself a recognized legal injury and fits within longstanding copyright protections. The publishers also argued that OpenAI knowingly removed identifying information in a way that could enable infringement, which is prohibited under the DMCA. The panel ultimately took the case under advisement, leaving unresolved key questions about how copyright law applies to AI systems.2nd Circ. Judge Unimpressed By OpenAI's IP Suit Stance - Law360An immigration judge has ended the asylum claims of five-year-old Liam Conejo Ramos and his family after their detention during a large immigration operation in Minnesota. Liam and his father were taken into custody in January and held for about 10 days in a Texas facility before being released. Public attention grew after a widely shared image showed the child standing outside his home while federal agents were nearby.The ruling was issued by U.S. Immigration Judge John Burns, and the family's attorney has said they will appeal the decision, a process that could take a long time. Community members, including Liam's school district, expressed sadness and concern over the outcome while acknowledging that the legal process is ongoing.The case is tied to “Operation Metro Surge,” a large-scale enforcement effort that brought thousands of immigration agents to Minnesota. The operation led to widespread detentions and significant backlash, especially after two U.S. citizens were fatally shot during related protests or observations. The federal government later ended the operation, but local communities continue to deal with its emotional and economic effects.Advocates and officials have emphasized the broader human impact of the raid, particularly on children and families whose lives were disrupted. Liam's case has become a focal point in discussions about immigration enforcement and its consequences.Judge ends asylum claim of Minnesotan boy detained by ICE, report says | Reuters 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

A group of wholesale steel distributors will pay more than $3.3 million to settle allegations that they made false statements in order to secure federal loans during the COVID-19 pandemic.The seven corporations in question, each part of Georgia-based steel company Allied Crawford, are incorporated across seven separate states, including Virginia, where federal prosecutors investigated the matter.Most Read in Manufacturing:Nestlé Overhauls Bonus StructureSK Lays Off Nearly 1,000 Workers at Georgia PlantAI-Designed 'Metamachines' Run WildPodcast: Stellantis Workers Get $0 Bonuses According to the Justice Department, they received more than $2.7 million combined in loans under the Paycheck Protection Program, which was designed to ensure that businesses could keep their doors open and continue paying their employees amid the pandemic. The companies, however, were actually ineligible to receive those loans, prosecutors claimed. They said company officials falsely certified that they were eligible for the loans — both on their initial applications, and on subsequent filings for the forgiveness of the loans in 2021.The case began with a lawsuit filed by a whistleblower under the provisions of the federal False Claims Act; that whistleblower will receive a 10% share of the settlement.The U.S. government reportedly allocated nearly $6 trillion in emergency spending during the pandemic, and although experts broadly agreed that the funding helped keep the economy afloat, it also created opportunities for fraud — investigations of which persist some six years later.Prosecutors noted that the settlement does not include a determination of civil liability.Click here to subscribe to our daily newsletter featuring breaking manufacturing industry news.#PPPloans #COVIDRelief #LoanFraud #JusticeDepartment #FalseClaimsAct #ManufacturingNews #SteelIndustry #BusinessFraud #CorporateAccountability #PandemicRelief #Whistleblower #FinancialCrime #BusinessNews #IndustrialNews #EconomicPolicy #FraudInvestigation #GovernmentOversight #COVIDFunding #CorporateCompliance #IndustryRegulation

In this episode, HortySpringer attorneys Henry Casale and Hala Mouzaffar discuss a case of alleged violations of the False Claims Act and Stark Law that turned into a case of retaliation. Listen now to this episode of The Kickback Chronicles to see what you can learn from the misfortune of others.

The Civilian Board of Contract Appeals has issued new procedural rules to implement the Administrative False Claims Act, a revamped law that gives federal agencies greater ability to pursue smaller fraud cases involving government contracts. The changes could expand enforcement tools and raise new compliance considerations for contractors doing business with the federal government. To help unpack what the new rules mean and how companies should prepare, Federal News Network's Eric White spoke with Dan Ramish, Counsel at Haynes Boone.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Hosts Jason Crawford and Agustin Orozco are joined by special guests Alice Hall-Partyka and Savanna Williams to discuss the administration's novel use of the False Claims Act to advance social policy goals. The episode takes a specific look at the issues of gender-affirming care and anti-discrimination laws and discusses the recent announcement of the the new DOJ Division for National Fraud Enforcement. "Let's Talk FCA" is Crowell & Moring's podcast covering the latest developments with the False Claims Act.

Today on the Federal Drive with Terry Gerton As AI transforms the workforce, a new report finds veterans may have an edge, and the data shows exactly which career paths offer the strongest long‑term payoff A record‑shattering year for False Claims Act recoveries is forcing a sharper look at where the money flows and why DOJ's enforcement firepower keeps circling back to healthcare How to make sure your nest egg is thrivingSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

The government brought in an all‑time high of $6.8 billion in False Claims Act recoveries last year, with healthcare driving most of the action. DOJ is zeroing in on managed care billing, drug‑pricing tactics, and medical‑device safety — and it's adding discrimination in hiring and pay as a new area of focus. We'll unpack what that means for companies and why enforcement keeps following the money with Kate Seikaly (CYCLE-y) of Reed Smith.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

This year has been something of a reckoning for Medicare Advantage. Senator Grassley's scathing report of UHG's risk adjustment practices, and the Kaiser $556 million settlement to resolve False Claims Act allegations of upcoding, opened eyes, and got many in the industry talking. I wanted to get someone on the show with opinions, unafraid to speak their mind and share their perspective. I've found that person. Betty Stump is Senior Solution Consultant for Edifecs, a Cotiviti Business. She is in the business of risk adjustment and value-based care on the vendor side, but is never afraid to offer her opinion on the industry, pro and con. And with more than 20 years in the industry across multiple well-known companies, it's an informed one. Listen in as we discuss: What is working in value-based care/risk adjustment—and where have we gone wrong? Recent conference disillusionment. Kaiser DOJ fine and the Grassley report taking aim at UHG's aggressive risk adjustment strategy: Betty's thoughts and where does this heightened era of scrutiny put risk adjustment coders. Do we need to elevate the MEAT standard? What are organizations missing with risk adjustment? Great, practical, low-tech suggestions for RAF capture including using your 2025 end-of-year roster to identify those patients with high-risk conditions and engage in proactive outreach to get patients seen. V28 of CMS-HCCs with V24 in the rear-view mirror. Truthful tech talk: How leaders can get a seat at the table, how to get a vendor's ear to modify functionality, and truth and hype in CDI tech How should a CDI or coder interact with a machine prompt from a suspecting tool? Looking back at a colorful 20-year career in the consulting life, and a thoughtful selection for the Off the Record Spotify playlist by a fellow music enthusiast.

Episode 79 Tactical Playbook: Surviving the Tariff Enforcement Blitz In 2025, the government recovered $6.8 billion from False Claims Act cases involving customs fraud — nearly three times more than the prior year's total. Explore this dramatic surge in tariff enforcement with host Matt Adams and International Trade Partner Brittney Powell. This informative episode covers the fundamentals of tariffs and explores the forces driving the enforcement wave — revealing it's about far more than government intervention alone. Brittney also shares compliance best practices to help importers mitigate risk and predicts how the Trump administration could respond to the recent Supreme Court ruling that struck down reciprocal tariffs. This episode was recorded prior to the Supreme Court decision issued on Feb. 20. The views expressed in this podcast are those of the participants and should not be considered the views of Fox Rothschild LLP or its attorneys. This podcast is for informational purposes only, is not legal advice, and does not create an attorney-client relationship.

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.

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.

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? 

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.

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.

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

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.

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

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.

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.

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

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.

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/

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

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

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. 

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

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

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.  

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.