Trends in health care enforcement during 2012 have been significant in reinforcing the government’s fraud investigation and recovery strategies. Health care fraud enforcement will likely intensify in the post-health reform era. The enactment of new laws and regulations at the federal and state levels related to health care reform will provide the government with more opportunities to detect and seek out fraud and abuse in the industry. The government’s heath care enforcement activities in 2012 combined with new health care reform laws and regulations strongly suggest that 2013 may well be another landmark year. This advisory provides an overview of enforcement activities and the implications those activities may have on those in the health care industry.
Samantha advises clients on regulatory and enforcement matters. She has deep experience handling violations of the federal ant-kickback statute and FCA investigations for clinical laboratories and hospitals.
Hope regularly defends health care companies in governmental investigations and ensuing cases, conducts internal investigations, and advises providers and manufacturers regarding enforcement issues.