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Fraud and Abuse Law
William M. Sage, MD, JD
JAMA. 1999;282:1179-1181.
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I'm from the government and [choose one] . . .
I'm here to help you.
I'm here to protect you.
I'm here to spy on you.
I'm here to drown you in paperwork.
I'm here to take your money.
I'm here to throw you in jail.
Ask medical professionals to choose a statement from the list above regarding federal efforts to root out health care fraud and abuse, and it is more likely that they will select responses from the end of the list than from the beginning. The article by Kalb1 in this issue of THE JOURNAL reveals the scope of the government's antifraud enterprise, but the question remains: what exactly is government doing?
The story of fraud and abuse law is a tale of path dependence. The enactment of Medicare and Medicaid legislation 35 years ago was hailed as a step toward completing . . . [Full Text of this Article]
Author Affiliation: Columbia Law School, New York, NY.
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RELATED LETTER
Fairness in Fraud and Abuse Enforcement
Timothy Stoltzfus Jost, Lee D. Hieb, and William M. Sage
JAMA. 2000;283(10):1289-1290.
EXTRACT
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RELATED ARTICLE
Health Care Fraud and Abuse
Paul E. Kalb
JAMA. 1999;282(12):1163-1168.
ABSTRACT
| FULL TEXT
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Whistleblower-Initiated Enforcement Actions against Health Care Fraud and Abuse in the United States, 1996 to 2005
Kesselheim and Studdert
ANN INTERN MED 2008;149:342-349.
ABSTRACT
| FULL TEXT
The Lawyerization of Medicine
Sage
Journal of Health Politics, Policy and Law 2001;26:1179-1196.
Fairness in Fraud and Abuse Enforcement
Jost et al.
JAMA 2000;283:1289-1290.
FULL TEXT
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