Phillips & Cohen

Fierce Healthcare: Aetna to pay $117.7M to settle Medicare Advantage upcoding allegations #Whistleblower #FalseClaimsAct www.fiercehealthcare.com/payers/aetna...

Aetna Settles for $11.5 False Claims Act Case Alleging Submission of Invalid Diagnosis Codes to Inflate Government’s Medicare Advantage Payments | Phillips & Cohen Aetna Settles for $11.5 False Claims Act Case Alleging Submission of Invalid Diagnosis Codes

P&C is pleased to announce that Aetna agreed to pay $11.5 million to settle allegations that Aetna submitted invalid diagnosis codes to CMS, inflating the payments that Aetna received. Thank you to our brave #whistleblower client. www.phillipsandcohen.com/aetna-settle...

P&C partner Amy Easton will be speaking at the FBA Qui Tam Section on "Insurance Fraud Under the ACA," on March 11, 2026. See link below to register.

Thanks to a #whistleblower, Kinex Medical Co. will pay nearly $7M to settle False Claims Act allegations for submitting false claims to Medicare and other federal programs for medical braces that the patients did not need. www.justice.gov/usao-edwi/pr...

Phillips & Cohen Evidentiary Data Scientist George Collins - Corporate Crime Reporter Affiliates of Kaiser Permanente last month agreed to pay $581 million to the federal government to settle multiple whistleblower cases alleging that the companies engaged in “risk adjustment” fraud an...

Corporate Crime Reporter interviewed P&C Evidentiary Data Scientist George Collins about our case against Kaiser Permanente alleging risk adjustment fraud and other misconduct. www.corporatecrimereporter.com/news/200/phi...

SEC Office of the Whistleblower Awards Over $60 Million to Whistleblowers in FY25 | Phillips & Cohen SEC Over $60 Million to Whistleblowers in FY25

SEC awards over $60 million to 48 #whistleblowers according to the fiscal year 2025 annual report to Congress. In addition, the Commission made 82 Preliminary Determinations recommending whistleblower awards. Read P&C's latest blog. www.phillipsandcohen.com/sec-awards-o...

Join P&C partners Jeffrey Dickstein and Amy Easton at HCCA's Board & Compliance Committee Conference on Feb. 24, 2026. www.hcca-info.org/conferences/...

CFTC’s Whistleblower Program has Collected over $3.2 Billion since 2014 | Phillips & Cohen CFTC’s Whistleblower Program has Collected over $3.2 Billion since 2014

The #CFTC announced that enforcement actions associated with its #whistleblower program resulted in monetary sanctions totaling over $3.2 billion since 2014. Read more from P&C's latest blog.
www.phillipsandcohen.com/cftcs-whistl...

Join P&C partners Jeffrey Dickstein and Amy Easton at HCCA's Board & Compliance Committee Conference on Feb. 24, 2026. www.hcca-info.org/conferences/...

Join P&C partner Amy Easton at the Federal Bar Association Qui Tam conference Feb. 20, 2026. quitamconference.com

SEC Whistleblower Program Annual Report for FY 2025 Shows “Reason for Cautious Optimism” in 2026 and Beyond | Phillips & Cohen SEC Whistleblower Program Annual Report for FY 2025 Shows “Reason for Cautious Optimism”

P&C partner Sean McKessy: #SEC #Whistleblower Program Annual Report Shows “Reason for Cautious Optimism” in 2026 and Beyond. Read Sean McKessy's (former Chief of the SEC Office of Whistleblower) entire statement. www.phillipsandcohen.com/sec-whistleb...

Join P&C partner Amy Easton at the Federal Bar Association Qui Tam conference Feb. 19-20, 2026.

Join P&C partner Caire Sylvia at the
@federalbar.bsky.social 2026 Qui Tam Conference on Feb. 19, 2026, at 8:30 am. quitamconference.com

Thanks to #whistleblowers, Kokosing Materials will pay $17.5M and Barrett Paving Materials will pay $12.5M to resolve False Claims Act allegations that the companies submitted false asphalt test results. www.justice.gov/usao-sdoh/pr...

Barn Rentals, Related Entities Agree to Pay $3.9 Million to Settle a NY False Claims Act Whistleblower Lawsuit | Phillips & Cohen Barn Rentals and Related Entities Agree to Pay $3.9 Million to Settle a NY False Claims Act Whistleblower Lawsuit

Phillips & Cohen is pleased to announce Barn Rentals & related entities have agreed to pay over $3.9 million to settle a whistleblower lawsuit filed under the New York False Claims Act alleging that the entities failed to pay taxes. www.phillipsandcohen.com/barn-rentals...

Thanks to a #whistleblower, QP Holdings, an Arkansas company, and its affiliates, will pay $3.2 million to settle False Claims Act allegations for obtaining PPP loans for which they were not eligible. www.justice.gov/usao-ma/pr/a...

Insect Shield LLC and Co-Founder’s Estate Agree to Pay $1.4M to Settle False Claims Act Allegations Insect Shield LLC, located in North Carolina, and the Estate of Richard Lane, a co-founder and co-owner of Insect Shield, have agreed to pay a combined $1.4 million to resolve allegations that Insect ...

Thanks to a #whistleblower, Insect Shield and the estate of a co-owner will pay $1.4M to settle allegations that they
falsified test results for an insect repellent for Army uniforms, violating the False Claims Act. www.justice.gov/opa/pr/insec...

Grassley, Fetterman Urge Implementation of Whistleblower Program to Fight Money Laundering | U.S. Senator Chuck Grassley of Iowa WASHINGTON – Sens. Chuck Grassley (R-Iowa) and John Fetterman (D-Pa.) sent a letter to Department of...

Sens. Grassley & Fetterman urge the TREAS. Secretary Bessent and FinCEN Director Gacki to implement the Anti-Money Laundering Whistleblower Improvement Act. The law created FinCEN’s #whistleblower program to fight money laundering and sanctions evasion. www.grassley.senate.gov/news/news-re...

DOJ and USPS Announce First Award Under New Antitrust Whistleblower Rewards Program | Phillips & Cohen DOJ and USPS Announce First Award Under New Antitrust Whistleblower Rewards Program

Just 6 months after the DOJ's Antitrust Division announced its partnership with the United States Postal Service to create a new #Whistleblower Rewards Program, DOJ announced its first-ever award of $1 million to a whistleblower under the new program. www.phillipsandcohen.com/doj-and-usps...

Thanks to a #whistleblower, Arthritis & Rheumatology Center and its owner will pay $2.18M to settle allegations that assistants performed infusion services in violation of Georgia law & submitted claims to Medicare, violating the False Claims Act. www.justice.gov/usao-ndga/pr...

Antitrust Division and U.S. Postal Service Make First-Ever Whistleblower Payment: $1M Awarded for Reporting Antitrust Crime The Antitrust Division today announced its first-ever whistleblower reward: a $1 million reward to a whistleblower who provided information that led to EBLOCK Corporation resolving criminal antitrust ...

Thanks to a #whistleblower, EBLOCK Corp. to pay a $3.28M criminal fine to resolve antitrust and fraud charges DOJ and the U.S. Postal Service announced today. This is the first whistleblower reward under the program. www.justice.gov/opa/pr/antit...

Whistleblowers Help Government Recover Over $ 5.3 Billion from False Claims Act Lawsuits in FY2025 | Phillips & Cohen This month, the Department of Justice announced that in fiscal year 2025 the government recovered over $6.8 billion from settlements and judgments under the False Claims Act (FCA). This is the highest...

Thanks to #whistleblowers, in FY25 the government recovered $5.3 billion from settlements and judgments under the False Claims Act, proving how valuable the qui tam provisions of the FCA are in fighting fraud. Read more from P&C's latest blog. www.phillipsandcohen.com/whistleblowe...

Record FCA Haul Sends 'Loud' Message On Federal Priorities - Law360 Healthcare Authority Aggressive enforcement by President Donald Trump's administration and the qui tam bar's success prosecuting fraud even without government intervention helped fuel the explosion in recoveries under the...

Claire Sylvia, partner, Phillips & Cohen, spoke to Dan McKay at Law 360 about the False Claims Act, “Healthcare is an area where the government spends a lot of money, and it is also an area where potential harm to the public is often most acute.” www.law360.com/healthcare-a...?

United States Obtains False Claims Act Judgment Against California Rehabilitation Center and Owner Relating to Improper Paycheck Protection Program Loan The United States District Court for the Central District of California granted summary judgment to the United States against JMG Investments Inc., a California corporation which runs a rehabilitation...

Thanks to a #whistleblower, JMG Investments and its owner were ordered by the US District Court for the Central District of CA to pay over $1.5M in damages & penalties for violations of the False Claims Act for receiving more than one PPP loan.
www.justice.gov/opa/pr/unite...

Q&A: $85 Billion and Counting | U.S. Senator Chuck Grassley of Iowa Q: What is the federal government’s #1 tool to fight fraud? A: More than a century after President...

DOJ credits Sen. Grassley's amendments to the False Claims Act in 1986 with the recovery of more than $85 billion to the US Treasury. www.grassley.senate.gov/news/news-re...

Six Phillips & Cohen whistleblower attorneys named to Lawdragon’s “500 Leading Lawyers in America” for 2026 | Phillips & Cohen Washington, DC, January 23, 2026— Lawdragon has named six Phillips & Cohen partners –Peter Chatfield, Stephen Hasegawa, Erika Kelton, Colette Matzzie, Sean McKessy, and Claire Sylvia—to its 2026 “500 ...

We are proud to announce that six Phillips & Cohen #whistleblower attorneys have been named to Lawdragon’s “500 Leading Lawyers in America” for 2026. This is the 18th year in a row that Lawdragon has recognized Phillips & Cohen partners in its list. www.phillipsandcohen.com/six-phillips...

Funding of Trade Fraud Task Force is Welcome Signal of Greater DOJ Focus on Customs Fraud | Phillips & Cohen Funding of Trade Fraud Task Force is Welcome Signal of Greater DOJ Focus on Customs Fraud

P&C exclusive: The funding of Trade Fraud Task Force is a welcome signal of greater DOJ focus on customs fraud. Read more from Phillips & Cohen's latest blog post from Stephen Hasegawa. www.phillipsandcohen.com/funding-of-t...

Justice Department Files False Claims Act Complaint Against Priority Hospital Group and Three Long Term Care Hospitals On Jan. 16, the United States filed a complaint under the False Claims Act against Priority Hospital Group LLC (PHG), a Louisiana-based hospital management company, three PHG-managed long term care ho...

Thanks to a #whistleblower, DOJ has filed a False Claims Act complaint against Priority Hospital Group and others alleging violations based on medically unnecessary care and patient referrals in violation of the Anti-Kickback Statute & Stark Law. www.justice.gov/opa/pr/justi...

False Claims Act Penalties Annual Increase for Inflation | Phillips & Cohen False Claims Act Penalties Annual Increase for Inflation

Congress requires federal agencies to adjust civil money penalties to keep pace with inflation, so in 2025 DOJ increased the civil penalties for False Claims Act violations to a minimum of $ 14,308 per violation and a maximum of $ 28,619 per violation. www.phillipsandcohen.com/fca-penaltie...

IRS Whistleblower Office Goes Digital: Modernizing Tax Enforcement | Phillips & Cohen IRS Whistleblower Office Goes Digital: Modernizing Tax Enforcement

The IRS Whistleblower Office took a step in making it easier for people to report tax fraud by announcing a new digital Form 211. This move marks a milestone in the agency’s efforts to revitalize the #whistleblower program. Read more from P&C's latest blog. www.phillipsandcohen.com/irs-whistleb...