James-Hoyer: Whistleblower News

Whistleblower says Insurers Bilking Medicare Advantage

A high level whistleblower who worked for UnitedHealth Group says his company and other insurers have been bilking taxpayers by gaming the system to get higher payments.  Benjamin Poehling, a former finance director with United Health, told the New York Times the insurers falsely make it appear that some seniors are sicker than they truly are more »

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$18 Million Settlement: IU Health/HealthNet Whistleblower Case

Dr. Judith Robinson Cropped Picture

A whistleblower suit filed by Dr. Judith Robinson under the False Claims Act has led to an $18 million settlement with two of Indiana’s largest health care providers.  Indiana University Health and HealthNet have agreed to pay $18 million to the federal government and State of Indiana to resolve illegal kickback and false billing claims.  more »

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Proposed Improvements to IRS Whistleblower Program

Sen. Chuck Grassley and Sen. Ron Wyden today introduced bipartisan legislation to improve IRS communication with tax fraud whistleblowers and protect those whistleblowers from workplace retaliation, they announced in a news release. “Whistleblowers have helped the IRS recover more than $3 billion for the taxpayers that otherwise would have been lost to fraud,” Grassley said. more »

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Military Contractor PTP Settles Whistleblower Case

James Hoyer Partner Jillian Estes interviewed by ABC Action News

People Technology & Processes, LLC (“PTP”), a defense contractor based in Lakeland, Florida, agreed to settle a whistleblower case in which the company was accused of billing for work never performed for the U.S. Army in Afghanistan, the James Hoyer law firm announced today.  The company was also accused of falsifying records to cover up more »

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Prime Healthcare Loses Motion to Dismiss: Whistleblower Case Moves Forward

A blow was dealt to Prime Healthcare as a California federal court issued three rulings denying motions filed on behalf of the hospital corporation. As a result, an important whistleblower case, alleging Prime inappropriately admitted patients to increase profits, will move forward. “This is a very important ruling,” said James Hoyer Law Firm Partner Elaine more »

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Attorney General Nominee Pledges Support to Fight Fraud using False Claims Act

Alabama Senator Jeff Sessions is being questioned this week at confirmation hearings on his nomination for U.S. Attorney General by President-elect Donald Trump.  On Tuesday, Senator Sessions pledged his support to fighting fraud against the government and his support of the False Claims Act as a means to do so.

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New Study Proclaims the Value of Whistleblowers

Whistleblowers are getting a pat on the back from a new study by a University of Iowa assistant professor of accounting.  The research by Jaron Wilde shows that these insiders, often former or current employees of a target company, have an impact in getting the companies to change their bad behavior. New York Times reporter more »

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James Hoyer Partner Interviewed about Miami Whistleblower Ruling

Sean P. Keefe - James Hoyer Associate

James Hoyer Partner Sean Keefe, an expert on SEC whistleblower cases, lauded a recent Miami appeals court ruling that helps to protect whistleblowers. Florida’s Third District Court of Appeals rejected a lower court ruling that whistlebower protections do not apply to employees who are supposed to report fraud as part of their job description. Keefe more »

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Truth in Media Investigates Big Pharma

Judy pic 3 - Truth in Media

The online news website Truth in Media just finished a series of reports on Big Pharma. It’s a fascinating look at how the pharmaceutical industry has manipulated the system to increase sales and profits. Part 4 of the series highlights the case of Endo pharmaceuticals and its orphan drug Lidoderm.  The James Hoyer Law Firm more »

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Federal Government Joins Prime Healthcare Whistleblower Suit

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The federal government is joining the whistleblower case of James Hoyer client Karin Berntsen against Prime Healthcare Services, its founder Dr. Prem Reddy, and more than a dozen of its hospitals.  Prime is a fast growing company that owns more than 40 hospitals nationwide. The whistleblower suit, which was unsealed in December of 2013, alleges Prime more »

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