DOJ Reports Record Haul in FY14 FCA Recoveries of Nearly $6 Billion
Client Alert | less than 1 min read | 11.21.14
On November 19, 2014, DOJ reported that it had obtained a record $5.69 billion in recoveries (settlements and judgments) from civil FCA cases in FY14, the first time recoveries have exceeded $5 billion, and that this brings total recoveries from January 2009 through the end of FY14 to $22.75. Of the FY14 recoveries, $3.1 billion related to housing and mortgage fraud, $2.3 billion related to health care fraud, and the remainder related to procurement and other federal programs.
Insights
Client Alert | 2 min read | 02.03.26
CMS Doubles Down on RADV Audit Changes
On January 27, 2026, the Centers for Medicare and Medicaid Services (CMS) released a Health Plan Management System (HPMS) memo that provided a long-awaited update on how the agency plans to approach previously announced Risk Adjustment Data Validation (RADV) audits for Payment Years (PY) 2020-2024. The memo is the agency’s most comprehensive statement on the subject since September 25, 2025, when the Northern District of Texas vacated the 2023 RADV Final Rule. The memo makes clear that, while CMS has made certain operational adjustments in response to concerns expressed by Medicare Advantage Organizations (MAOs), the agency is largely pressing forward with the accelerated audit strategy announced in May 2025.
Client Alert | 2 min read | 02.03.26
Sedona Model Jury Instructions for DTSA: A Step Forward—But Questions Remain
Client Alert | 7 min read | 01.30.26
CMS Proposes CY 2027 Growth Rate and Changes to Risk Adjustment for Medicare Parts C and D
Client Alert | 4 min read | 01.30.26
Optimum’s Shot Across the Bow: An Antitrust Challenge to Cooperation Agreements
