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- Chief Compliance Officer and VP of Legal Affairs, Arrow Electronics
By Kyle Brasseur2023-11-01T22:49:00
The impact of the Department of Justice’s (DOJ) voluntary self-disclosure program was on display in the agency’s declination of an enforcement action against Florida-based health insurance company HealthSun Health Plans for apparent fraud committed by its employees and agents.
HealthSun’s legal representatives received a declination letter from the DOJ’s Fraud Section dated Oct. 25, in which the agency said it would not prosecute the company regarding the apparent fraud. The determination took into consideration multiple factors, including HealthSun’s agreement to repay approximately $53 million to the Department of Health and Human Services’ Centers for Medicare & Medicaid Services (CMS) found to have been obtained because of the alleged scheme.
The DOJ said the scheme was orchestrated by HealthSun’s former director of Medicare risk adjustment analytics, Kenia Valle Boza. On Oct. 26, Valle was charged by the agency with one count of conspiracy to commit healthcare fraud and wire fraud, two counts of wire fraud, and three counts of major fraud against the United States.
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2024-04-16T19:30:00Z By Kyle Brasseur
Proterial Cable America received a declination notice from the Department of Justice related to its voluntary self-disclosure and remediation of apparent fraud committed by its employees.
2023-11-17T18:11:00Z By Kyle Brasseur
Pharmaceuticals company Lifecore Biomedical won’t face prosecution for apparent violations of the Foreign Corrupt Practices Act after satisfying multiple factors of the Department of Justice’s recently updated voluntary self-disclosure policy.
2023-10-05T18:50:00Z By Kyle Brasseur
The Department of Justice’s push to incentivize companies to voluntarily self-disclose potential misconduct reached its next stage in the form of a safe harbor policy regarding mergers and acquisitions.
2024-07-26T19:18:00Z By Jeff Dale
RTX Corp., the parent company of Raytheon, disclosed in a public filing it has reserved $1.24 billion to resolve legacy legal matters with the Department of Justice, Securities and Exchange Commission, and Department of State.
2024-07-26T15:51:00Z By Aaron Nicodemus
The U.K. Financial Conduct Authority issued a fine of $4.5 million (3.5 million pounds) against a U.K.-based subsidiary of crypto platform Coinbase for providing services to high-risk customers in violation of FCA rules.
2024-07-26T13:36:00Z By Adrianne Appel
Admera Health agreed to pay more than $5.5 million to resolve allegations first brought by two whistleblowers that it paid kickbacks to third-party contractors, the Department of Justice said.
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