Run program integrity & fraud control

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

Stark law & Anti-Kickback Statute

expandedYear 1Provider payment & regulation

Today

Fraud and abuse laws for Medicare and Medicaid.

Under the plan

Extended to all UHP payments.

Trade-off

Uniform rules; more compliance obligations for providers who mainly served commercial patients.