According to the Department of Justice, the federal government recouped $1.34 billion in settlements and judgments under the False Claims Act in the fiscal year ending Sept. 30, 2008. $1.12 billion came from health care entities, bringing total recoveries to approximately $21 billion since 1986 when Congress substantially strengthened the civil False Claims Act. Some of the largest settlements involved allegations of off-label promotion by pharmaceutical manufacturers, as well as antikickback violations by drug firms, device makers and hospitals involving illegal referral arrangements. Almost 80 percent of the government's $1.34 billion in total recoveries came from lawsuits initiated by whistleblowers. Significantly, physicians are rarely targeted under the False Claims Act as they have increasingly provide documentation and testimony to government regulators. Notwithstanding other developments, it is clear that combating health care fraud continues to be a serious federal government priority yielding tangible results that the federal government can trumpet. For more information about the government’s antifraud efforts and examples of significant cases in the last year, please click here.