Consolidation Comes to Health-Care Anti-Fraud Contractors

Government health-care anti-fraud contractors may increasingly operate under fewer programs as the Trump administration looks to rein in government spending and streamline the fight against fraud.

Much of the Centers for Medicare & Medicaid Services’ work on program integrity has been delegated to contractors, and some have had “pretty unspectacular results,” bolstering the cause of consolidation, Ellyn Sternfield, a health-care attorney with Mintz Levin in Washington, told Bloomberg BNA.

Contractor consolidation could benefit hospitals and providers by eliminating redundant programs and providing more uniform policy guidance for the remaining contractors.

A first step toward consolidation ...