Event
The Current State of RA Litigation and Risk Areas for MA Plans, Physician Groups, Vendors and Downstream Entities, Hosted by RISE West 2023
This seminar will focus on new developments in various FCA litigations, OIG audits, and other regulatory activities, with focus on what sorts of activities and fact patterns that the DOJ, as well as courts at the pleading stage, are finding to be plausible violations of the False Claims Act as opposed to fact patterns that are not meeting muster.
Additional topics that will be covered:
- Predictions about what’s next in the FCA arena when it comes to MA and whether MA plans can be both whistleblowers and victims if providers submitted false claims to MAOs;
- How the new RADV rule may affect these cases, and similar cases, moving forward;
- Which behaviors the DOJ and various District Courts are finding to be violations of the FCA, and some advice on how to stay clear of those land mines; and
- Predictions of where the future of fraud litigations related to the MA industry seem to be heading.