Health Care Fraud and Abuse – 6919
Federal, state and local governments are projected to spend $2.4 trillion on health care in 2021. Total public and private healthcare expenditures currently represent approximately 17% of the U.S. GDP. With such high spending levels, opportunities and concerns about health care fraud and abuse are understandably rampant. This course brings practitioner and academic perspectives together to focus on the major civil, administrative and criminal laws that have been used to contain health care fraud and abuse, broadly defined as actions by health care providers (e.g., physicians and physician practices, medical device and pharmaceutical manufacturers, clinical laboratories) that are inconsistent with accepted business and medical practices. These laws include the federal civil False Claims Act, the Stark Act, the federal Anti-kickback Statute and the remedies and civil and criminal penalties available to governmental entities and civil litigants. The seminar will also will also consider related compliance strategies and the practical compliance issues faced by healthcare providers.