Trends and Developments Related to Health Care Fraud Settlements

Joe Wolfe, Attorney, Hall Render Killian Heath & Lyman PC, speaks with Marissel Descalzo, Partner, Tache Bronis and Descalzo PA, about the current landscape of health care fraud settlements and enforcement activity. They discuss what triggers a false claim and accompanying investigation, what drives whistleblowers, patterns with respect to false claims cases, examples of recent enforcement actions, areas the Department of Justice is targeting, future enforcement trends, and OIG’s November 2023 compliance program guidance document. They also discuss the second edition of AHLA’s publication, Health Care Fraud Settlement Index. From AHLA’s Fraud and Abuse Practice Group.