Question

Each presidential administration has specific areas of focuses for health care. Write a one page review of the Health care Fraud Enforcement Trends Under the the Trump Administration.

Answer 1

Within the first few years of Trump administration, Healthcare faced an avalanche of change. The challenges arising from the new development includes both legal and regulatory changes.
In June 2016, department of justice charged against 300 individual English reading doctor nurses and other lies sent the professional for Healthcare fraudulent activities.
In 2017 announced largest fraud in Healthcare industry. it is charged against 400 individual including doctors nurses and other Healthcare professionals.

Health care Fraud Enforcement Trends Under the the Trump Administration are as follows:

Improper financial arrangement.
Improper financial arrangement is a growing trend in in Healthcare fraud.
Several example showing this trend is growing. In 2017, the operators and owners of an acute Care Hospital agreed to pay $42 million to settle allegation that they violated FCA.
In 2017 two Southwest mission Healthcare agreed to pay $35 million to settle allegation of violating FCA by submitting false claim to Medicare for doing chemotherapy provided to patients referred by oncologist whose compensation was based, in part, on a formula that improperly took the value of their referrals into account.

In 2017 September , gallon biopharma agreed to pay $ 7.55million for paying doctors kickback.

Compacting the opioidic epidemic
Another trend that have received most attention that government focus compacting the opioid epidemic. Pharmaceutical manufacturers and Wholesale distributor have recently seen the most activity.

Viability of FCA cases alleging medical necessity.
Viability of FCA cases alleging medical necessity is another trend growing in Healthcare fraud. In these cases, the government or related allegs that a provider violated FCA by billing the Federal government for service that are not medically necessary.