Whistleblower activity has exploded in areas like fraud against the government, with a marked increase in filings and recoveries under the False Claims Act as detailed in recent Department of Justice (DOJ) and agency reports. Qui tam law, primarily under the False Claims Act (FCA), typically involves employees acting as whistleblowers (relators) to file lawsuits on behalf of the government against entities defrauding federal programs, such as through false billing or inflated … [Read more...]
Whistleblower Qui Tam Articles
Whistleblower Qui Tam Articles
Whistle Blower Protection For Healthcare Employees Under The False Claims Act
1. The FCA prohibits fraud against the government The False Claims Act (“FCA”) imposes liability on any person who knowingly presents, or causes to be presented, a false or fraudulent claim for payment; knowingly makes or uses a false record or statement material to a false or fraudulent claim; or conspires to violate the FCA. 31 U.S.C. § 3729(a)(1)(A)–(C). The statute defines “knowingly” to include actual knowledge, deliberate ignorance, or reckless disregard, and does not require proof of … [Read more...]
Qui Tam Whistleblower Exposes Fraud Under False Claims Act
Marking one of the most aggressive actions against Medicare Advantage fraud, the Department of Justice recently (May 2025) intervened and unsealed a civil complaint that reveals a vast Medicare kickback scheme that prioritized company profits over subscriber needs. The case, originally filed under the false claims act by a former eHealth employee (whistleblower), alleges that a group of insurers paid hundreds of millions of dollars (kickbacks) to incentivize brokers to steer enrollments into … [Read more...]
Filing a Qui Tam Whistleblower Case
Qui tam is a legal provision rooted in the False Claims Act (FCA) empowering private citizens - aka whistleblowers or relators - to sue on behalf of the U.S. Government when someone defrauds it. Filing a qui tam case under the False Claims Act (FCA) is a structured process with specific legal requirements which is advanced with legal counsel. It is a complex and high stakes endeavor that involves blowing the whistle on fraud against the U.S. government, potentially leading to significant … [Read more...]
Federal and State Whistleblower Protections
Whistleblower laws are designed to protect individuals who report misconduct, illegal activities, or wrongdoing within an organization, whether it is a government entity or private company. In the U.S., whistleblower protections can be found in multiple federal and state laws depending on the context such as workplace safety, financial fraud, and government corruption. Whistleblowers are offered protection from retaliation such as termination, harassment, or blacklisting, provided the disclosure … [Read more...]
