DOJ False Claims Act Statistics

DOJ Statistics Evidence Increased Health Care Qui Tam Filings and Recoveries

Every year, the United States Department of Justice releases its annual tabulation of False Claims Act settlements and judgments, providing a cumulative look at recoveries dating back to the 1986 FCA Amendments. This past years report confirms the enormous power of the qui tam provisions of the False Claims Act in the battle against healthcare fraud:

  •  $64.4 billion recovered since 1986, of which $46.5 billion, or 67%, was recovered via qui tam actions.
  • $7.8 billion in relator share awards were paid to successful whistleblowers since 1986.
  • There have been 13,957 qui tam actions filed since 1986. This averages out to about 411 filings per year, and over 600 each year, in the last 10 years. 
  • Of the 753 qui tam filings in FY2013, 500 (or 66.4%) alleged fraud on Government Health Care Programs. 
  • Of the $64.4 billion recovered under the False Claims Act since 1986, $43.3 billion, or 67%, involved fraud on Government Health Care Programs. 
  • Heath care qui tam whistleblowers have received awards totaling $6 billion since the False Claims Act was modernized in 1986. Nearly $2 billion of these awards were paid out in just the past five years. 
  • There have been 8,541 health care qui tam actions filed since 1986. In the past five years, an average of 470 health care qui tam actions have been filed each year.

REAL PEOPLE making real change Meet Some of our Heroes

Kathleen Hawkins

Dignity Health
$37 million

Kathleen Hawkins, RN MSN, had been employed by Defendant, Catholic Healthcare West (CHW) for approximately 6 years when she decided she had had enough of trying to change the hospital system from within.

CHW, a California not-for-profit corporation that operated hospitals in California, Arizona, and Nevada, was at the time the eighth largest hospital system in the nation and the largest not-for-profit hospital provider in California.

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Joe Strom

Johnson & Johnson
$184 Million

Joe Strom contacted us in 2005. We were very grateful that he did. We immediately formed an all-star legal team and a process to stop a very harmful pharmaceutical marketing strategy. It was this process we set into motion that ultimately returned hundreds of millions of dollars to the U.S. Treasury, and a portion of that, very well-deserved, into Joe’s bank account.

Joe told us a very troubling story about the off-label promotion of a pharmaceutical drug for patients who already suffered from chronic heart failure.

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Bruce A. Moilan Sr.

$27 Million

Bruce Moilan was a seasoned hospital systems expert by the time he contacted our Firm. At the time he decided to file his qui tam lawsuit, he was employed by South Texas Health System as a System Director for Materials Management. In this position, he oversaw $24 million in annual purchases of supplies and equipment and helped determine budget, reduction and cost analysis throughout the contract bidding and negotiations process. His job was to insure proper implementation for purchasing, receiving and management of inventory, for McAllen Hospitals, L.P.

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“I collaborated with Nolan, Auerbach and White on a broad variety of cases where whistleblowers stepped forward to disclose tactics employed by large companies to influence physicians' medical decision-making in patient care. They provide ample resources to not only optimize their client cases, but in doing so consistently leverage best medical evidence to further patient safety and resource utilization.”

— Fred Polsky M.D., Former Medical Director, CMS Zone 7 Integrity Contractor

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