Social Media Ideas for Fair Claims Act

Non-Admitted Surplus Lines Insurers Must Follow Fair Claims Practice Regulations in California 

I get calls from insureds all the time who are concerned that because their insurance carrier is “non-admitted” in California, the carrier somehow gets to play by a different set o...

Second Circuit Limits Rule 9(b) Pleading Requirements for Reverse False Claims Act Claims

The U.S. Court of Appeals for the Second Circuit (the “Court”) recently ruled that a False Claims Act (“FCA”) relator can satisfy Rule 9(b) without identifying every false claim un...

Many Claims, Many Occurrences

Eleventh Circuit Rejects Constitutional Challenge to the False Claims Act’s Qui Tam Provision

The Eleventh Circuit recently rejected a challenge to the constitutionality of the False Claims Act’s (“FCA”) qui tam provisions, holding that whistleblowers who bring FCA actions...

Eleventh Circuit Upholds Constitutionality of the False Claims Act's Qui Tam Provision and Reverses Lower Court

False Claims Act Roundup Series: Q2 2026 – Federal and State Agencies Use Data to Operationalize Enforcement

The False Claims Act Takes Center Stage in the Trump Administration’s Anti-Fraud Strategy

Public adjusters launch national conduct code for US claims

Voluntary standard targets consistency across state rules

L.A. County investigates FAIR Plan's claims practices after widespread complaints

Los Angeles County looks into the claims practices of the California FAIR Plan, the state's insurer of last resort, after January 2025 wildfire victims' complaints.

Qui Tam Survives: Eleventh Circuit Rejects Constitutional Challenge to FCA Relators

Last month, the Eleventh Circuit held that the False Claims Act’s (FCA) qui tam provisions do not violate the Appointments Clause of the U.S. Constitution, allowing private citizen...

11th Circuit Finds False Claims Act Qui Tam Provisions Constitutional

Unlawful Co-Pay Subsidy Scheme – Dompe US Inc. 32M FCA Settlement

DOJ Revises Justice Manual to Strengthen False Claims Act Enforcement

The U.S. Department of Justice (“DOJ”) recently revised its Justice Manual to strengthen its approach to False Claims Act (“FCA”) enforcement. The revisions address two issues part...

Fair Credit Reporting Act Disputes: When Furnisher Investigations Fall Short

Behind State Farm’s Claims Curtain: Who Is Really Managing Your Insurance Claim?

Yesterday, in “When Will Insurers Advertise That They Found a Way to Pay You More?” I raised questions about the insurance industry’s fascination with claims efficiency and reducin...

Four Is A Trend: Lessons For Medicare Advantage Diagnosis Coding Programs To Take From Recent FCA Settlements

Avoiding Bad-Faith Claims in Indiana Through Safe Harbor Interpleading

In Baldwin v. Std. Fire Ins. Co., 269 N.E.3d 1197 (Ind. Sup. Ct. 2025), the Indiana Supreme Court recognized a safe harbor under Indiana law for insurers confronted with multiple c...

When Will Insurers Advertise That They Found a Way to Pay You More?

A claims practice expert whose identity I have agreed to keep confidential recently sent me a question that ought to make insurance executives squirm a little: “Can you name an ins...

DOJ Revises Justice Manual To Strengthen False Claims Act Enforcement

Second Largest Medicare Advantage FCA Settlement of All Time

The Villages Health System LLC, a Florida-based provider deeply integrated with the retirement community of the same name, has agreed to pay $541.5 million to resolve False Claims...

DOJ False Claims Act Enforcement Reforms on Sub-Regulatory Guidance and Qui Tam Dismissals Highlight New Defense Conside...

On Sept. 18, 2026, the U.S. Department of Justice announced updates to Justice Manual provisions governing False Claims Act (FCA) litigation. The updates (1) limit the use of nonbi...

Lawsuit: TWIA Fraudulently Reduced Claim Estimates From Hurricane Beryl

By Ezra Amacher Three Texas homeowners filed a federal racketeering lawsuit last week alleging that the Texas Windstorm Insurance Association fraudulently reduced claim estimates f...

Back to Status Quo- Eleventh Circuit Upholds FCA’s Qui Tam Provisions Against Appointments Clause Challenge

Independence Blue Cross Risk Score Manipulation