Category: News

In recent years, the importance of whistleblower programs has gained significant attention, particularly in the realm of corporate governance. The U.S. Department of Justice has recognized the need to bolster efforts in reporting corporate criminal conduct, leading to the launch of the Corporate Whistleblower Awards Pilot Program. This initiative aims to incentivize individuals to come...

On July 26, 2024, the Securities and Exchange Commission announced a substantial award exceeding $37 million to a whistleblower whose information and cooperation contributed to a successful enforcement action. The SEC whistleblower’s dedication to reporting misconduct internally prompted the employer to launch a comprehensive investigation, which was then shared with the Commission. This self-reporting spurred...

Whistleblowing technology refers to the act of disclosing illegal, unethical, or harmful practices within an organization by someone with insider knowledge. Protecting whistleblowers is vital, as it shields them from retaliation and fosters accountability and transparency in organizations. The rise of whistleblowing technology, fueled by online communication platforms in today’s digital age, has profoundly influenced...

CVS PBM Settlement Details CVS Health and its pharmacy benefit manager (PBM) recently reached a $45 million settlement with the state of Illinois over allegations that they failed to pass on drug rebates to the state’s Medicaid program. This agreement resolves claims that CVS improperly retained rebates that were meant to reduce drug costs for...

Rite Aid Whistleblower  Helps Recover Over $100 Million The U.S. Department of Justice announced a landmark settlement with Rite Aid Corporation and its subsidiary, Elixir Insurance Company, requiring them to pay $101 million to resolve allegations of falsely reporting drug rebates to the Medicare Program. The settlement stems from a Rite Aid Whistleblower lawsuit filed...

The Beginnings of Caremark Fraud Pharmacy Benefit Manager (PBM) Caremark was originally founded in 1993 and has since evolved into a key player in the healthcare industry. The company gained significant prominence after being acquired by CVS Health in 2007, creating CVS Caremark. This merger allowed Caremark to leverage CVS’s vast network of retail pharmacies...

Unveiling the Healthcare Kickback Scheme In a resounding victory against healthcare fraud, a former regional sales director at Innovasis, Inc., Rover Richardson, was awarded $2.2 million for his pivotal role in uncovering a multi-million dollar kickback scheme. This landmark case not only sends a strong message to the healthcare industry about the consequences of unethical...