Webinar Overview

The healthcare enforcement landscape is constantly evolving, with the HHS Office of Inspector General (OIG) and its law enforcement partners employing increasingly sophisticated strategies to combat fraud, waste, and abuse. This critical webinar provides an in-depth analysis of enforcement actions and key legal developments in 2024, offering a frontline perspective on the risks facing healthcare organizations today.

We will delve into recent cases and penalties to illustrate the government's current priorities. The session will also include a focused review of the Anti-Kickback Statute (AKS), including a discussion of its safe harbors—with particular attention to the new proposed safe harbor for value-based arrangements. Attendees will gain insights from recent OIG Advisory Opinions and pertinent case law that define the boundaries of permissible conduct.

Why You Should Attend

This program is essential for healthcare executives, physicians, and providers who receive remuneration from federal healthcare programs. A wave of recent enforcement actions underscores a stark reality: common business practices in other industries can constitute a federal crime under healthcare fraud statutes.

Hospital executives and healthcare providers must be acutely aware of the government's reliance on the AKS as a primary tool for enforcement. Compounding the risk, the AKS is frequently used as a basis for lawsuits under the Federal False Claims Act, potentially leading to treble damages and significant penalties.

Attending this webinar will equip you with the knowledge to:

• Understand the critical elements of the Anti-Kickback Statute.

• Identify the exceptions and safe harbors that provide a defense against enforcement.

• Recognize high-risk activities that are becoming a major focus of government efforts.

Areas Covered in the Session

• The Anti-Kickback Statute (AKS): A clear breakdown of the law's prohibitions and intent requirement.

• AKS Safe Harbors: An analysis of key regulatory protections, including updates on coordinated care and value-based arrangements.

• OIG Advisory Opinions: A review of recent opinions and what they signal about the OIG's enforcement stance.

• 2024 Enforcement Actions: A summary of significant cases and penalties levied by the OIG and its partners.

• Pertinent Case Law: Discussion of recent court decisions that are shaping the interpretation and application of fraud and abuse laws.

Who Will Benefit

This webinar is designed for professionals in leadership and compliance roles who are responsible for mitigating organizational risk, including:

• Hospital C-Suite Executives (CEOs, COOs, CFOs, CNOs, CMOs)

• Physicians and Physician Practice Managers

• Healthcare System Executives and Board Members

• Compliance Officers and Legal Counsel

• Risk Management Professionals