Publications

2011—The Year In Review: Trends in Health Care Enforcement

The First in a Continuing Series*



1/31/2012

By Hope S. Foster, Tracy A. Miner, Brian P. Dunphy, Samantha P. Kingsbury, and Stephanie D. Willis

Mintz Levin’s Health Care Enforcement Defense Group conducted a wide-ranging review of the government’s health care fraud enforcement activities in 2011 to offer a general snapshot of the environment in which health care providers and pharmaceutical and medical device manufacturers operate, as 2012 begins.  This 2011 Year in Review report examines the extraordinary resources and attention that the Department of Justice (“DOJ”) and the Office of Inspector General (“OIG”) directed during the year to health care fraud enforcement and to particular industries that the agencies selected for increased scrutiny.  This first installment discusses trends in criminal prosecutions; reviews significant civil False Claims Act cases and settlements; describes the government’s increasing focus on criminally charging and excluding individuals from the federal health care programs; and analyzes increasing fraud fighting through inter-agency collaboration at both the state and federal levels.

This is the first installment in an ongoing series that will analyze the government’s health care fraud enforcement efforts in 2011 to offer insights to our clients about the likely 2012 health care enforcement environment.

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* Our continuing series will include a webinar. Invitation and registration details to follow.

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