Anjali N.C. Downs and Carrie Valiant, Members of the Firm in the Health Care & Life Sciences practice, in the firm’s Washington, DC, office, co-authored an article in Bloomberg BNA Health Law and Business, titled “INSIGHT: Five Health-Care Fraud and Abuse Trends to Watch.”
Following is an excerpt:
The Department of Justice will continue its focus on fighting health-care fraud in 2019, but look for developments that also simplify federal regulations to avoid chilling health-care innovation. …
In 2019, we’ll see a push to simplify the regulatory environment for organizations serving the health care industry and fraud and abuse enforcement to increasingly recognize the importance of not creating a chilling effect on health-care innovation. Nevertheless, the federal government will also continue its focus on enforcement efforts, which continue to be quite lucrative for the federal government—bringing in about $2.5 billion in health-care related False Claims Act recoveries in fiscal year 2018.
Five top trends we will be watching.
- Stark Law, Anti-Kickback Changes
- Granston Memo Fallout
- Focus on Opioid Crisis
- More Criminal Sanctions/Individual Liability
- Managed Care Tensions