Healthcare companies are experiencing the effects of increased government scrutiny resulting from investigations by the Health Care Fraud Prevention and Enforcement Action Team (HEAT). An interagency taskforce created in 2009 among the Department of Health & Human Services, Office of Inspector General, the Centers for Medicare & Medicaid Services and the United States Department of Justice, HEAT's mission is to optimize criminal and civil enforcement of the False Claims Act.
To better serve the healthcare sector, DLA Piper has established a team of experienced professionals to address governmental enforcement proceedings arising from activity by HEAT and other regulators. The DLA Piper team stands ready to provide strategic solutions to companies facing these issues or seeking to avoid them.
As a result of HEAT's efforts, in fiscal year 2016 alone the DOJ obtained more than $4.7 billion in civil settlements and judgments involving fraud and false claims, of which $2.5 billion emanated from the healthcare industry.
Furthermore, an increasing number of healthcare providers face Medicare or Medicaid charge-back claims along with recoupment actions from commercial payors, pursuant to which CMS and other payors seek recovery of amounts previously paid to providers.
Responding to this pressure from regulators, DLA Piper has assembled a team of professionals to advise in two areas: taking steps to avoid running afoul of the regulators, and dealing with the consequences when a company is in the government's crosshairs.
Our strong team of industry-experienced professionals understands the issues and can provide advice before, during and after DOJ investigations.
On the team are lawyers with sophisticated experience in the areas most affected by this evolving climate: regulatory compliance, transactional structuring, litigation and investigations, and restructuring.
Let us put our experience to work for you. Learn more about our healthcare enforcement response team by contacting any of the team leaders.
Co-Chair, US Restructuring Practice
Chair, US Healthcare Sector
Co-Chair, US White Collar, Corporate Crime, and Investigations Practice