Universal HealthcareBy NextBestFit
Phase 5: Stabilize & govern · Step 5.2

Run program integrity & fraud control

Year 1 onward · UHA Program Integrity; HHS-OIG; DOJDiscuss this step

Every existing law, program, institution, or practice this step changes: what it is today, what happens to it, when, and what that costs or trades off.

WhatTodayChangeTrade-off
Stark law & Anti-Kickback Statute
expandedYear 1
Provider payment & regulation
Fraud and abuse laws for Medicare and Medicaid.Extended to all UHP payments.Uniform rules; more compliance obligations for providers who mainly served commercial patients.
Medicare hospice benefit
amendedYear 1
Federal programs
Per-diem payment for terminally ill patients who forgo curative treatment; rapid growth of for-profit hospices with documented fraud.Continues under UHP with concurrent care allowed (patients need not give up curative treatment) and enhanced program-integrity review.Concurrent care improves end-of-life choice but raises spending; stricter review burdens legitimate hospices.