title: The role of the states in combating managed care fraud and abuse.
abstract: Professor Krause describes the weapons available to state regulators to address managed care fraud. Although many commentators have focused on recent federal anti-fraud efforts, Professor Krause argues that the states, through the use of a number of existing legal theories, have the most flexibility to combat fraudulent managed care practices. By using these targeted state-based efforts (in contrast to broader federal provisions), state regulators may be able to resolve problems more efficiently and with greater patient benefits.
authors.affiliation: Institute for Health Law, Loyola University of Chicago School of Law, USA.
authors.forename: J H
authors.initials: JH
authors.lastname: Krause
mesh_terms: D003254:Consumer Advocacy / Q000331:legislation & jurisprudence; D003363:Cost Control / Q000331:legislation & jurisprudence; D019461:Employee Retirement Income Security Act / Q000331:legislation & jurisprudence; D005161:Facility Regulation and Control / Q000331:legislation & jurisprudence; D005607:Fraud / Q000331:legislation & jurisprudence* / Q000517:prevention & control; D007343:Insurance Carriers / Q000331:legislation & jurisprudence; D008329:Managed Care Programs / Q000191:economics / Q000331:legislation & jurisprudence*; D013219:State Government; D014481:United States