Healthicity Blog

The Department of Justice’s announcement of $6.8 billion in False Claims Act recoveries for fiscal year 2025 marks a historic high—and a clear message to healthcare organizations.

Compliance leaders are no strangers to reacting quickly when enforcement activity hits the headlines. But what if you could anticipate where scrutiny is heading before the audit notice arrives?

As healthcare organizations close out another year of shifting regulations, evolving technology, and heightened enforcement, one reality is clear: compliance has moved from a back-office function to a business-critical strategy.

The OIG often advises healthcare organizations to “follow the money” when assessing compliance risk. That guidance applies just as well to the OIG itself.

Many organizations still approach compliance as a checklist—policies written, training completed, audits performed. But as Jill Fallows Macaluso explains in this episode of Compliance Conversations, the most effective compliance programs go far beyond requirements.

Staying ahead of regulatory expectations isn’t just good practice—it’s essential protection for your organization. Compliance issues rarely appear out of nowhere. Most of the time, early warning signs are already there; they just haven’t been assessed, documented, or addressed. That’s why regular...

Many organizations believe they are handling compliance issues effectively — until they have to prove it.

This year’s enforcement landscape brought sharper oversight, evolving regulations, and new vulnerabilities across healthcare and beyond. Yet amid the turbulence, one message stood out: proactive compliance programs don’t just protect organizations from penalties—they deliver measurable returns in...