False Claims Act and Healthcare: Wedded Bliss or Agony?

If you are the government, FCA may be wedded bliss. If you are in the healthcare industry, it’s probably wedded agony. For the past 20 years, the majority of False Claim Act (FCA) cases have been within the healthcare industry with the first half of 2023 continuing this trend. Of the 32 FCA resolved cases from January through July of this year, 72 percent were in the healthcare sector. The next closest sector was government contracting at nine percent.

While the first half of 2023 has seen more cases, the recovery value of those cases was lower than 2022. In 2023, there were 32 FCA resolutions totaling more than $485 million. In comparison to the first half of 2022, there were 29 resolutions totaling more than $500 million.

In contrast to 2022, the data suggests 2023 seems to be off to a slower start financially than other years, but the number of resolutions in the first half of the year demonstrates that the government is still very active in this area.

(Click on the image to see additional FCA statistics)