Worldwide: White Collar Crime, Anti-Corruption & Fraud

An MA organization and its subsidiaries that offer EGWPs proposed a savings-sharing arrangement with the employer groups, trusts, and unions (each a Group) to which it provides coverage.

Executive Order 14395 establishes a federal Task Force to eliminate fraud in government benefit programs, with significant implications for healthcare providers who bill Medicare, Medicaid, and other federal programs. The Order introduces compressed timelines for agency compliance, enhanced pre-payment controls, and strengthened whistleblower protections under the False Claims Act. Healthcare organizations face a rapidly evolving enforcement landscape that may require immediate reassessment of compliance fr

On April 7, 2026, the Acting Attorney General, Todd Blanche, issued a memorandum establishing the Department of Justice National Fraud Enforcement Division (NFED). The memo describes an ambitious, but perhaps redundant, vision for this standalone litigating division: a centralized, coordinated approach to investigating and prosecuting fraud against taxpayer dollars and taxpayer-funded programs such as Medicare and Medicaid.