Author name: Barrett Johnston Martin & Garrison, PLLC

Dollar bills and a gavel.

Operation Gold Rush – A Reminder of Just How Much Money Is Lost from Healthcare Fraud

As a simple matter of dollars and cents, it is hard to overstate just how big a problem healthcare fraud is. A good reminder of this came earlier this summer, when the Department of Justice (DOJ) announced numerous criminal indictments in “Operation Gold Rush,” targeting a multinational, multi-billion-dollar health care fraud scheme. The Department of […]

Operation Gold Rush – A Reminder of Just How Much Money Is Lost from Healthcare Fraud Read More »

Close-up of document showing the definition of "antitrust."

Department of Justice Announces First-of-Its-Kind Antitrust Whistleblower Program

The Department of Justice’s Antitrust Division has launched its first-ever Whistleblower Rewards Program, working in tandem with the U.S. Postal Service (USPS) and Postal Inspection Service. Under this new program, individuals who provide credible information leading to successful antitrust prosecutions are eligible for awards between 15% and 30% of any criminal fines the government recovers,

Department of Justice Announces First-of-Its-Kind Antitrust Whistleblower Program Read More »

Doctor equipment.

Kickbacks in Medicare Advantage Emerge as Enforcement Priority for New Administration

Earlier this month, the Department of Justice formally intervened in a significant qui tam action against some of the largest health insurers in America—Aetna, Elevance (previously known as Anthem), and Humana. In a more than 200-page complaint, the Government alleges these insurance companies paid hundreds of millions of dollars in kickbacks to insurance brokers to steer patients into their Medicare Advantage plans. The brokers—companies eHealth, SelectQuote, and GoHealth—are also named defendants in the action (See DOJ press release here).

Kickbacks in Medicare Advantage Emerge as Enforcement Priority for New Administration Read More »