Roundtable: Fraud, Waste and Abuse – Navigating a New Enforcement Landscape
Jason Crawford
Partner
Crowell & Moring LLP
William Downs
Senior Managing Director
Ankura
Teresa A. Mason
Member
Epstein Becker Green LLP
Adam Sinton
Partner
Sinton Scott Minock & Kerew (SSMK)
Ray Walker
Managing Counsel – Litigation
Health Care Service Corporation (HCSC)
Enforcement in Medicare and Medicaid managed care, including Medicare Advantage, is on the rise, driven by political priorities and data driven investigations.
This session will explore the latest trends in government oversight, highlight recent enforcement actions, and provide practical guidance for plans to anticipate risks, respond effectively, and strengthen compliance strategies.
- Reviewing fraud and abuse investigations impacting MCOs in 2026
- Understanding the role of data-driven investigations
- Implementing proactive compliance measures to mitigate risk