Data Analytics in Health Care Enforcement and Compliance

The US Department of Justice (DOJ), US Department of Health and Human Services, Office of the Inspector General (HHS OIG), and other agencies increasingly rely on sophisticated data analytics to guide enforcement efforts against health care fraud, waste, and abuse.  With the US DOJ having opened a record number of False Claims Act cases last year, health care companies of all types (providers, payers, drug and device makers, etc.) are well-advised to improve their own data analytics in compliance.  Doing so can make the most of limited compliance budgets and help avoid government scrutiny.

This panel discussion, sponsored by Foley & Lardner, will offer insights and tips from their real-world experience with data analytics in enforcement, compliance, and in-house legal roles:  Matthew Krueger, former United States Attorney for the Eastern District of Wisconsin and Foley & Lardner partner; Michelle Frazier, Chief Compliance Officer, Advocate Aurora Health; and Ahmed Elganzouri, Deputy General Counsel, Edward-Elmhurst Health.

During this Webcast, the panelists will discuss:

• Health care enforcement trends and the evolving ways that enforcement agencies use data analytics to guide enforcement efforts.
• DOJ’s expectations for compliance programs, including effective use of data.
• Practical steps to take to improve use of data in compliance activities, including risk assessments, audits, and investigations.
• Challenges to using data effectively, including data availability, technical limitations, and the need to prioritize efforts. 

To register for this event, click here.