Federal regulators and law enforcement are looking hard at healthcare organizations for False Claims Act (FCA) violations at the same time other sectors are enjoying less scrutiny. Healthcare leaders should take a hard look at their compliance programs to ensure they are doing all they can to avoid FCA enforcement actions.
[...]
The United States has spent more than $1 trillion every year since at least 2023 in the two major healthcare programs, Medicare and Medicaid, notes Jennifer A. Short, JD, partner with the Blank Rome law firm in Washington, DC. Healthcare spending overall in the United States accounts for more than 17% of the country’s gross domestic product.
“Those significant levels of spending mean that healthcare is ripe for fraud and abuse, and also that enforcement efforts are likely to yield more significant monetary returns to the U.S. Treasury compared to other areas of government spending,” Short says.
To read the full article, please click here (subscription required).
"DOJ Targeting Healthcare for False Claims Act Enforcement," by Greg Freeman was published in Healthcare Risk Management in August 2025.
