Tag

False Claims Act

All articles tagged with #false claims act

Accenture Settles for $25M in DEI-Discrimination Case Amid DOJ Probe
business23 days ago

Accenture Settles for $25M in DEI-Discrimination Case Amid DOJ Probe

Accenture agreed to pay $25 million to settle DOJ allegations that it discriminated in hiring and promotion decisions for federal contracts by considering race and sex, in a case linked to the government’s Civil Rights Fraud Initiative. IBM and Deloitte have also settled for a combined ~$38.5 million this year, bringing total settlements to about $63.5 million across the three firms. The companies did not admit liability, and the settlements come amid a broader crackdown on DEI practices in federal contracting under the Trump administration.

Portland bar owner faces federal fraud suit over COVID relief tied to closed Eugene bar
crime26 days ago

Portland bar owner faces federal fraud suit over COVID relief tied to closed Eugene bar

Federal prosecutors accuse Ramzy Peter Hattar of fraudulently obtaining about $348,200 in PPP and EIDL relief by listing Eugene’s Taylor’s Bar & Grill—already shut down—as the borrower and using the River Pig Saloon’s address; funds were allegedly for a non-existent payroll, with the SBA absorbing losses. The case, brought under the False Claims Act, could trigger treble damages, and Hattar has not yet appeared in court.

Deloitte Resolves DEI Probe with $21.5 Million Settlement
business1 month ago

Deloitte Resolves DEI Probe with $21.5 Million Settlement

Deloitte will pay $21.5 million to settle DOJ claims it discriminated in DEI programs tied to federal contracts, part of a broader False Claims Act inquiry; the company denies liability and does not admit wrongdoing, while a whistleblower group, Alliance for Equal Rights, will receive $4.3 million; Indiana also settled for $1.2 million. The case signals intensified government scrutiny of DEI initiatives in government contracting under the Trump administration.

DOJ Reaches Landmark Settlement With Texas Children's Hospital Over Pediatric Gender-Affirming Care
law-and-policy4 months ago

DOJ Reaches Landmark Settlement With Texas Children's Hospital Over Pediatric Gender-Affirming Care

The Justice Department announced the first resolution in its national probe into alleged federal-law violations tied to pediatric gender-affirming procedures, with Texas Children’s Hospital agreeing to stop such procedures for minors, pay $10 million in damages and penalties, and fund a detransitioner care clinic; the settlement also involves alleged false billing, the hospital cooperated, and there has been no admission of liability as the investigation continues.

IBM pays $17M to settle DEI-related False Claims Act case under Trump-era initiative
business5 months ago

IBM pays $17M to settle DEI-related False Claims Act case under Trump-era initiative

IBM agreed to pay $17,077,043 to resolve DOJ allegations that its DEI policies violated federal anti-discrimination requirements in government contracts, with claims it certified compliance while using race/sex-based targets and altering interview criteria; IBM denies the conduct and says it ended the programs, and the settlement marks the first under the Trump administration’s Civil Rights Fraud Initiative.

IBM Resolves Federal DEI Claims with $17 Million Settlement
business6 months ago

IBM Resolves Federal DEI Claims with $17 Million Settlement

IBM agreed to pay roughly $17 million to settle U.S. government allegations that its diversity, equity and inclusion hiring practices in federal contracts were falsely claimed; IBM denies wrongdoing, saying its workforce strategy is about having the right people with the right skills, and the settlement is not an admission of liability amid a broader crackdown on DEI initiatives.

IBM to pay $17M to settle discrimination claims tied to federal contracts
law6 months ago

IBM to pay $17M to settle discrimination claims tied to federal contracts

IBM will pay 17,077,043 to settle False Claims Act allegations that its federal contracts included discriminatory DEI practices, such as a diversity bonus modifier, diverse interview slates, race and sex demographic goals, and restricted training opportunities; the government says these actions violated anti-discrimination provisions, though IBM cooperated and implemented remedial measures; this settlement is the first resolution under the Civil Rights Fraud Initiative.

IBM pays $17 million to resolve DEI-contracting claims
business6 months ago

IBM pays $17 million to resolve DEI-contracting claims

IBM has agreed to pay about $17 million to settle U.S. DOJ allegations that its diversity, equity and inclusion practices in federal contracting involved false claims about hiring and promotion practices. IBM denies discriminatory conduct, and the settlement is described as not an admission of liability. The case fits a broader post‑Trump crackdown on DEI initiatives in government contracting under the False Claims Act.

Trump Signs Executive Order Ending DEI Practices in Federal Contracting
politics6 months ago

Trump Signs Executive Order Ending DEI Practices in Federal Contracting

President Trump signed an executive order prohibiting racially discriminatory DEI practices by federal contractors and their subcontractors, requiring a DEI-discrimination clause in contracts under the Federal Property and Administrative Services Act, directing the OMB to issue compliance guidance and identify risky sectors, and allowing contract termination, suspension, or debarment for noncompliance. The order also directs the Attorney General to pursue False Claims Act actions and to align Federal Acquisition Regulations to enforce the ban, framing DEI as costly and counter to merit-based, efficient government contracting; it forms part of a broader effort to end DEI across the federal government.

Aetna Pays $117.7 Million to Resolve Medicare Advantage Coding Allegations
healthcare7 months ago

Aetna Pays $117.7 Million to Resolve Medicare Advantage Coding Allegations

Aetna will pay $117.7 million to settle False Claims Act allegations that it submitted or failed to withdraw inaccurate diagnosis codes to inflate Medicare Advantage payments, including morbid obesity codes for 2018–2023, and related issues from a 2015 chart-review program; a whistleblower, a former Aetna risk-adjustment coder, will receive about $2.01 million. The case was pursued by the DOJ Civil Division, Fraud Section, and HHS-OIG with the U.S. Attorney’s Office for the Eastern District of Pennsylvania.

CVS Ordered to Pay Nearly $290M in Whistleblower Lawsuit
business1 year ago

CVS Ordered to Pay Nearly $290M in Whistleblower Lawsuit

A federal judge ordered CVS Health's pharmacy benefit manager unit to pay nearly $290 million in damages and penalties for overcharging Medicare for prescription drugs, citing fraudulent billing practices motivated by financial gain. CVS plans to appeal the decision, which stems from allegations that CVS Caremark inflated claims submitted to Medicare since 2010, damaging public trust and violating the False Claims Act.

legalhealthcare2 years ago

"DOJ Alleges Fraudulent Price Reporting by Regeneron Pharmaceuticals for Eylea Drug"

The United States has filed a complaint against Regeneron Pharmaceuticals, alleging that the company fraudulently manipulated Medicare reimbursement for its drug, Eylea, by knowingly submitting false average sales price (ASP) reports to Medicare. The complaint alleges that Regeneron inflated Eylea’s ASP by paying credit card processing fees for the benefit of physician-customers purchasing Eylea, without properly reporting these payments as price concessions to ASP, resulting in hundreds of millions of dollars in inflated reimbursements by Medicare. The government's investigation was prompted by False Claims Act allegations brought in a whistleblower lawsuit, and if found liable, Regeneron could face significant financial penalties.

"Federal Investigation and Urgent Calls for Action: Washington Bridge Shutdown Unveiled"
government2 years ago

"Federal Investigation and Urgent Calls for Action: Washington Bridge Shutdown Unveiled"

The U.S. Department of Justice has issued a demand letter to the McKee Administration regarding the Washington Bridge failure, indicating an investigation under the False Claims Act. The letter, led by the Rhode Island District of the DOJ, focuses on the actions of the Rhode Island Department of Transportation and its contractors, including Barletta Heavy Division. The lead prosecutor, Bethany Wong, is seeking information dating back to 2015, and the investigation will encompass multiple companies involved in the Washington Bridge project over nearly a decade. The demand letter sets a deadline for the delivery of responsive documents and specifically targets documentation related to piers 6 and 7 of the bridge.

Community Health Network Settles False Claims Act Violations for $345 Million
healthcare2 years ago

Community Health Network Settles False Claims Act Violations for $345 Million

Community Health Network, an Indianapolis-based healthcare network, has agreed to pay $345 million to settle allegations that it violated the False Claims Act by knowingly submitting Medicare claims for services referred in violation of the Stark Law. The network allegedly engaged in a scheme to pay improper compensation to physicians to illegally refer patients to its hospitals and associated medical facilities. The network overcompensated its cardiologists, surgeons, and other physicians, sometimes paying double what they received through private practice. The settlement includes a five-year Corporate Integrity Agreement, and the network denies any wrongdoing.

Cigna Settles Overcharging Allegations with $172 Million Payment
healthcare3 years ago

Cigna Settles Overcharging Allegations with $172 Million Payment

Health insurance company Cigna has agreed to pay over $172 million to settle allegations that it knowingly submitted false diagnosis codes for Medicare Advantage plans between 2016 and 2021. The U.S. Department of Justice accused Cigna of violating the False Claims Act by not removing incorrect codes, resulting in increased payments. Cigna will also enter a corporate-integrity agreement for five years. This settlement comes as Cigna faces a separate class-action lawsuit regarding the use of an algorithm to deny medical claims and reduce labor costs.