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LSTU 570 Health Care Fraud: Regulation, Investigation, and Enforcement 4.0 Credits

Health care fraud is a significant challenge in the United States. Even before the COVID-19 pandemic, national health care spending was estimated to exceed $4 trillion in 2020. By one estimate, up to 10% of health care spending may be due to fraud and abuse, resulting in significant financial losses for consumers, government, and private plans and perhaps even more problematic, posing serious harm to patients. The course will be divided into three parts. First, discuss the criminal, civil, and administrative regulation of health care and the authorities enforcing those rules. Second, discuss the methods by which fraud is investigated and their limitations. Third, apply the knowledge gained in the first two segments to specific areas of health care enforcement, including elder abuse.

College/Department: Thomas R. Kline School of Law
Repeat Status: Not repeatable for credit