Medicare Advantage Scrutiny Remains a Top Priority for Government and Enforcement Agencies

Combating healthcare fraud, waste and abuse is a top priority for enforcement and regulatory government agencies, and as managed care continues to grow in popularity in the United States, so does the government’s focus on it.

John E. Kelly, partner and chair of Barnes & Thornburg’s Healthcare Department and Industry Practice, and partner Jacquelyn Papish recently spoke to Law360 and Becker’s Payer Issues about this upward trend and the current landscape surrounding the oversight and enforcement of managed care, including Medicare, Medicaid and Medicare Advantage.

“The government does seem to be intervening in a higher percentage of these cases than the larger sample size of a variety of different cases. And what we have seen happen over the last seven, eight, nine years is an increase in the experience and the sophistication in this space: the government’s become more sophisticated, relators have become more sophisticated, whistleblower attorneys have become more sophisticated.” – John E. Kelly in “No Let-Up On DOJ Medicare Advantage Fraud Probes” (Theresa Schliep, Law360)

“Medicare Advantage is growing rapidly. The program now accounts for more than half of Medicare beneficiaries. More taxpayer dollars flowing to Medicare Advantage brings more government scrutiny.” – Jacquelyn Papish in “Federal Medicare Advantage Scrutiny Isn’t Going Away” (Rylee Wilson, Becker’s Payer Issues)

Please visit Law360 (subscription required) and Becker’s Payer Issues to read the full articles.