Learn ways to manage health care fraud risk preemptively and during an investigation.
Health Care Sector businesses are highly regulated, and violations of laws and regulations are often severely punished. This program will describe and summarize the key areas of recent federal and state enforcement initiatives impacting Health Care Sector companies and includes predictions for the future in light of the 2024 Election.
Attendees will come away from the program with a better understanding of how U.S. DOJ's enforcement initiatives have impacted Health Care Businesses - including what were the key cases in 2024, how data mining has driven prosecutions, what civil recoveries have been, and how voluntary self-disclosure programs have been working. They will also learn about what state enforcers have focused on including the use of state consumer protection laws, insurance fraud laws, and false claims acts. The presenter will describe the changes ahead for federal and state enforcement in light of the recent election, with a particular focus on what is ahead for U.S. DOJ in light of the change of administrations. Changed resources and focus will necessarily impact Health Care Sector businesses, and this session will identify areas of less and more risk for enforcement.
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]
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