Health Policy & Fraud

Crime and Justice – Health Policy & Fraud examines the intersection of healthcare regulations, government policy, and criminal activity within the medical and pharmaceutical sectors. This topic highlights how fraud schemes—including billing scams, false claims, kickbacks, and identity theft—exploit healthcare systems like Medicare, Medicaid, and private insurers. It also explores how agencies such as the Department of Justice (DOJ), Centers for Medicare & Medicaid Services (CMS), and the Office of Inspector General (OIG) combat fraud through legislation, audits, whistleblower protections, and enforcement actions. In addition, the topic sheds light on the ethical, financial, and legal implications of healthcare fraud on public trust, insurance premiums, and patient safety. This subject is vital for understanding how legal frameworks and health policy reforms aim to protect vulnerable populations and ensure accountability in the healthcare industry.