How The FCA Is Weeding Out Medicare And Medicaid Fraud

Law360, New York (June 21, 2017, 6:22 PM EDT) -- If (and bear with us) Medicare and Medicaid managed care is a garden, then false claims are the weeds. And, as all the green-thumbed readers will attest, a bigger garden means more weeds. Managed care is increasingly the preferred mechanism for the federal government and state governments to manage health care costs, which means more beneficiaries, more claims and more opportunities for potential false claims.

Accordingly, the government is ratcheting up its enforcement efforts in the managed care arena (or, using your authors' clever analogy, the "garden") using the False Claims Act (you guessed it, the "weed killer"). One particularly illustrative...

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