Today on Fraud in America, we’re covering a case involving a massive fraud on Medicare Advantage (also known as Medicare Part C). In 2021, Sutter Health settled a whistleblower lawsuit for $90 million that alleged Sutter intentionally or recklessly submitted inaccurate medical diagnosis codes, inflating its reimbursements from Medicare Advantage. The whistleblower on this case, Kathy Ormsby, joins us today to discuss her journey, the case, and how this type of fraud puts patient safety at...

This week on Fraud in America, we’re discussing legal developments around the False Claims Act, the SEC Whistleblower Program, and other whistleblower programs! Joining us for this conversation is Jackie DeMar, Director of Legal Education for Taxpayers Against Fraud. She breaks down the latest developments from Supreme Court cases to big settlements to Department of Justice priorities.

In 2017, eClinicalWorks settled a whistleblower lawsuit alleging civil fraud and kickbacks for $155 million, a landmark case in the electronic health records industry. Today on Fraud in America, we sat down with the whistleblower of the case, Brendan Delaney, who alleged the software problems put patients at risk. In addition to Brendan, Colette Matzzie, his lawyer, joined as well. Colette is a Partner at Phillips & Cohen, LLP.

On today’s episode of Fraud in America, we’re looking at corporate culture and how businesses can foster robust internal whistleblowing processes. Kyle Welch is an Assistant Professor at the George Washington University’s School of Business. His main areas of research are human capital, whistleblowing, and corporate culture.

On today’s episode of Fraud in America, we’re interviewing Sen. Chuck Grassley (R-Iowa), one of the key architects of the modern False Claims Act and other fraud fighting programs. In this interview, he discusses why he entered public service, the success of whistleblower laws like the False Claims Act and SEC Whistleblower Program, and how he is working with other legislative champions to strengthen these laws.

Today on Fraud in America, we’re interviewing Zoe Chance, who teaches the most popular course at the Yale School of Management, “Mastering Influence and Persuasion.” In this episode, Zoe discuss persuasion and decision making, how to spot manipulators before it’s too late, and her own whistleblower story.

Today on Fraud in America, we’re interviewing George Karadsheh, the whistleblower who helped bring down Dr. Farid Fata, the oncologist who provided medically unnecessary chemotherapy to 553 of his patients. In this episode, George details how he came to work for Dr. Fata as an office manager, how his suspicions were raised, and why he decided to file a False Claims Act case.

Last week, President Biden warned the private sector to strengthen cyber-defenses in response to the threat of the Russian government issuing cyberattacks against American companies. On this week’s episode of Fraud in America, we’re joined by Sara McLean—a Department of Justice official—on the agency’s Civil Cyber-Fraud Initiative, utilizing the False Claims Act to combat cyber threats to critical U.S. systems. Sara not only details how the DOJ is tackling cyber fraud, but the crucial role...

On March 12, 2019, Operation Varsity Blues was made public by federal prosecutors, exposing how the rich and powerful influenced admissions decisions at some top American colleges. Jennifer Levitz and Melissa Korn are two Wall Street Journal journalists who followed the scandal from the start, and published the book “Unacceptable: Privilege, Deceit & the Making of the College Admissions Scandal.” On today’s episode of Fraud in America, Levitz and Korn break down the fraud, discuss how...

n 2016, Gwang-ho Kim boarded a plane from Seoul, South Korea to Washington, DC to blow the whistle on Hyundai and Kia for putting American motorists at risk due to defective engines. Five years later, he became the first whistleblower to be receive an award from the NHTSA Whistleblower Program. On today’s Fraud in America episode, he joins to discuss his whistleblowing journey. A big thanks to Mr. Kim’s daughter, Cindy Kim, for serving as his translator for this interview!

For decades, Steve Cohen represented whistleblowers who’ve uncovered dozens of cases of fraud involving health care and government contracting. But in 2009, he made a change, co-founding the Chicago Media Project, helping to finance dozens of award-winning documentaries. In today’s episode of Fraud in America, Steve sits down to talk about his story, and the impact documentaries he’s helped create, including the Academy Award-winning documentary “ICARUS,” which uncovered a major...

Chris Riedel is not just a whistleblower, he’s the President of Hunter Laboratories, Inc., in Campbell California. In today’s episode of Fraud in America, we dive into his story and how—as the owner of a small business—he used the False Claims Act to fight the greed of big businesses.

For years, Jason Foster served as Chief Investigative Counsel for the Senate Judiciary Committee. On today’s episode of Fraud in America, he joins to discuss what happens behind the scenes before high-profile congressional hearings, like the recent Facebook Whistleblower hearing. In addition he talks about launching Empower Oversight and its work to combat waste, fraud, and abuse both inside and outside government.

Heather Monahan is an author, entrepreneur, and keynote speaker. When she served as a C-suite executive, she was fired, a common experience whistleblowers face. Heather discusses her experience and how she made the best out of her circumstances and created success. While different from a typical whistleblower story, Heather’s journey demonstrates how integrity and perseverance are crucial.

Patrick Radden Keefe is an investigative journalist and author. He’s written four books and his most recent, Empire of Pain, features the Sackler dynasty which examines the founding of Purdue Pharma and the family’s central role in the opioid epidemic. On today’s Fraud in America, he joins to discuss his book, the recent state and local government multi-billion settlement against three opioid manufacturers, and more.

Jetson Leder-Luis is a Professor at Boston University who examines fraud and overbilling in taxpayer-funded projects—exactly what the False Claims Act and other whistleblower laws are designed to combat. He joins us on Fraud in America this week to discuss his research, how fraud works, the big infrastructure bill and the potential for fraud, and how whistleblowers are uniquely equipped to combat fraud.

In the aftermath of the 2008 Great Recession, the Dodd-Frank Act was signed into law. The law overhauled regulations on Wall Street and put in place important protections—one of them being the SEC Whistleblower Program. In this episode of Fraud in America, we discuss the program with three SEC whistleblower attorneys, including key architects of the SEC Whistleblower Program: Sean McKessy, Jordan Thomas, and Jason Zuckerman.

Sherron Watkins is the whistleblower who exposed corporate misconduct in the Enron scandal. In the summer of 2001, she warned Enron’s chairman, Kenneth Lay, the company’s methods of accounting were improper. She, along with two other whistleblowers, was named Time Persons of the Year in 2002. In today’s Fraud in America episode, she discusses her story, why the SEC Whistleblower Program is so important, and her life after whistleblowing. Sherron Watkins is currently an...

Renée Brooker and Josh Russ—two experienced former government attorneys and current whistleblower attorneys—join this week’s episode Fraud in America. They pull back the curtain to discuss how to government handles whistleblower cases and dispel some of the common misconceptions about whistleblowers. In addition, they give key tips to future whistleblowers on how to organize evidence before approaching an attorney.

In Washington State, deep underground, are 177 football field-sized tanks of radioactive sludge. The Hanford Site is likely the most polluted places in the Western Hemisphere, and it’s the topic of today’s Fraud in America episode! The government is working to cleanup the Hanford site, but four whistleblowers came forward to allege the company was overcharging the Department of Energy due to time card fraud. Cleveland Lawrence III, the whistleblower lawyer and Dan Fruchter, Assistant U.S....

When someone recognizes fraud and decides to become a whistleblower, it begins a daunting process. From figuring out if you have a solid claim to choosing a lawyer to protecting your privacy, these decisions could impact the success of your case. On today’s Fraud in America, we interview Kate Scanlan, an experienced whistleblower lawyer to field some of the frequently asked questions from new whistleblowers.

Did you know there is more than one False Claims Act? States all across the country passed their own versions, with some being even more robust than the original law! On today’s Fraud in America, we examined New York’s False Claims Act, which has a provision allowing whistleblowers to alert the state to tax frauds. Randy Fox and David Koenigsberg are two lawyers who’ve won big tax cases, recovering millions of dollars for the state. They discuss how the New York False Claims Act works, how...

This week’s Fraud in America is a bit different — we’ve typically highlighted whistleblowers who exposed corporate malfeasance and fraud. But what can companies do to make sure whistleblowers don’t have to come forward? Two authors of “The Business Ethics Field Guide,” Bill O’Rourke, a former Alcoa, Inc. executive and Aaron Miller, Associate Managing Director of the Ballard Center for Social Impact at Brigham Young University, join to how companies can foster ethics within their organizations.

Mia Guzman was a sales representative for Insys Therapeutics Inc., and blew the whistle on the company for its illegal sales and marketing practices pushing doctors to prescribe a highly addictive synthetic opioid. On Fraud in America, Mia shares her experience at Insys and why she blew the whistle, exposing the thinly veiled lies used to rationalize the off-label benefits of Subsys for patients.

Dr. Mona Hanna-Attisha is a nationally recognized pediatrician and most famous for blowing the whistle on elevated lead levels in the drinking water of Flint, Michigan. On today's Fraud in America, Dr. Mona shares why she became a whistleblower and the