Fraud and Abuse Practice Group Mid-Year Luncheon 

Title: Quality of Care and Anti-Fraud Enforcement: Back to the Future Again

Description:

Healthcare quality care metrics play a prominent role in the Patient Protection and Affordable Care Act health legislation and impose significant expectations on the provider community to meet quality-of-care standards. Government anti-fraud enforcement will intersect with the expectations of healthcare quality standards through the False Claims Act. Do the 2009 and 2010 False Claims Act amendments provide a greater opportunity for DOJ enforcement in quality-of-care allegations? What is the impact of the anti-kickback statute or other conflict-of-interest provisions on quality of care? Recent False Claims Act settlements and investigations for Stark and anti-kickback allegations raise important questions about when anti-fraud compliance raises quality-of-care enforcement issues. A distinguished panel of government and private counsel will assess these issues and forecast effective compliance strategies for hospitals, health systems, and other healthcare players.

Discussion Panel:

Jamie M. Bennett
Assistant United States Attorney
Office of the United States Attorney for the District of Maryland
Baltimore, MD

Kathleen McDermott, Esquire
Partner
Morgan Lewis & Bockius LLP
Washington, DC

Daniel S. Reinberg, Esquire
Shareholder
Polsinelli Shughart PC
Chicago, IL