Courts in 2015 likely will continue to handle many healthcare fraud cases, particularly related to the anti-kickback law and the Stark law, which governs physician referrals and financial relationships, said Louis Saccoccio, CEO of the National Health Care Anti-Fraud Association. HHS' Office of Inspector General listed fighting fraud in Medicaid and Medicare among its top management and performance challenges for 2014.
Saccoccio predicted that fraud allegations involving pharmacies might gain a higher profile in 2015.
Big Data Analysis and novel fraud detection systems will make a significant impact in 2015.
http://www.modernhealthcare.com/article/20150110/MAGAZINE/301109989
