The New Rules of Healthcare Fraud Enforcement

False Claims Act (FCA) enforcement in healthcare is accelerating, and providers cannot afford to wait to react until after the government comes calling. In this episode of "Counsel That Cares," litigation attorneys Meredith Auten and Jessica Sievert discuss the U.S. Department of Justice's new National Fraud Enforcement Division, record enforcement recoveries and the sectors drawing the sharpest scrutiny. They point to concrete examples already shaping the landscape involving Medicare Advantage, drug pricing, medical necessity, wound care, speaker programs and digital health. Ms. Auten and Ms. Siever also talk about the government's expanded use of artificial intelligence (AI) and data analytics to identify fraud patterns and drive cases.