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New DOJ Whistleblower Program Boosts Healthcare Crime Reporting

by Shreeya

Healthcare companies now face greater risks from whistleblower reports due to the Department of Justice’s expanded Corporate Whistleblower Awards Pilot Program (CWA).

This program incentivizes individuals to report corporate crimes, including healthcare fraud, by offering significant financial rewards and enforcement attention beyond traditional False Claims Act cases.

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The CWA targets a broad range of offenses, especially healthcare-related violations involving both federal programs and private insurance fraud, an area historically less scrutinized. This shift signals DOJ’s heightened focus on protecting patient safety and financial integrity in healthcare.

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Healthcare providers should strengthen internal compliance and foster a culture encouraging employees to report misconduct confidentially. The revised DOJ policies also offer incentives for voluntary self-disclosure of wrongdoing, potentially reducing penalties and encouraging transparency.

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Overall, the program underlines the importance of vigilance in healthcare compliance, with an emphasis on deterring fraud that threatens patient care and the healthcare system’s trustworthiness.

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