Learn to properly recognize fraud and gain an understanding of enforcement trends in the health care industry.
Legal developments in enforcement in the health sector have been fast and furious over the past 12 months. Not only are federal and state law enforcement and regulatory authorities actively focusing on individuals and companies operating in the health care sector, they are increasingly relying on aggressive legal theories in their cases. From diverging interpretations of the Escobar materiality holding to novel application of the Travel Act, it is hard for practitioners to keep up in this fast-paced legal and enforcement environment.
This topic, which is being led by two veteran health care enforcement defense attorneys, will summarize the most important developments in health care enforcement, both criminal and civil, over the past year and provide predictions for the future. Topics covered include hot cases brought by federal authorities, new federal charging theories and trends including EMR certification and managed care plan cases, health care investor/VC liability, trends in state attorney general enforcement, post-Escobar discovery and materiality rulings in federal court, the latest word in cooperation credit, the impact of the Granston Memo, and strategizing in a parallel investigation in light of the evolving enforcement landscape.
Agenda
Faculty
Carolyn Fitzhugh McNiven
Faegre Drinker Biddle & Reath LLP
- Partner and Lead, West Coast White Collar Practice, Faegre Drinker
- White Collar Litigator with a developed practice representing Health Care Sector clients under investigation for criminal and civil violations
- Former Deputy Chief (Complex Fraud Section) and Criminal Healthcare Fraud Coordinator, United States Attorney’s Office, Northern District of Illinois (Chicago)
- Published works include ‘What Now? Recent Prosecutions of Doctors and Other Healthcare Professionals Under the Travel Act’ in Wolters Kluwer’s 2018 Health Law and Compliance Update and “The Responsible Corporate Officer Doctrine and Other Theories Under Which Corporate Officials Can Be Liable By Virtue of Their Corporate Positions” in Wolters Kluwer’s 2013 Health Law and Compliance Update
- Recipient, Wiley W. Manuel Certificate for Pro Bono Legal Services, State Bar of California.
- J.D. Degree, University of California at Berkeley School of Law; B.A. Degree, Amherst College
- Can be contacted at 415-591-7515 or [email protected]
Jessica Natali
Greenberg Traurig LLP
- Shareholder with Greenberg Traurig, LLP
- A white-collar criminal defense attorney and former assistant United States attorney for the Eastern District of Pennsylvania
- Has deep experience both prosecuting and defending a wide range of criminal and civil cases, particularly health care fraud and narcotics cases involving doctors, pharmacists, and health care professionals
- Specializes in federal and state grand jury investigations involving Medicare/Medicaid fraud; public corruption, election and campaign fraud, mail fraud, wire fraud, mortgage fraud, tax fraud, bankruptcy fraud, and money laundering, as well as assorted violent crime matters
- Advised and worked closely with a variety of federal and local law enforcement agencies, including the Federal Bureau of Investigation, the Drug Enforcement Administration, the Internal Revenue Service, Homeland Security Investigations, the Bureau of Alcohol, Tobacco, Firearms and Explosives, the United States Department of Health and Human Services, the United States Postal Service, offices of attorneys general, police departments, and district attorney’s offices
- Listed in The Legal 500 United States, Dispute Resolution - Corporate Investigations and White-Collar Criminal Defense, 2019
- J.D. degree, summa cum laude, Temple University Beasley School of Law; B.S. degree, Drexel University
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