Question

Brief two cases--

One that predates the ACA, and

One after ACA’s passage, that demonstrates the importance of compliance with these laws:

Stark Law, Anti-Kickback Statute, Fraud, Waste, and Abuse claims for all applicable violations of CMS, False Claims Act.

Answer 1

CASE for reference- whistleblower demonstrate ACA protection for health care workers

ruling party upheld the anti-discrimination and anti-retaliation contained in ACA. it is the case of a nurse who works in the hospital who claims that the hospital fired her because she has complained about and refused to participate in the hospital program, which violates state law. the hospital already dismissed her claim by proving she is a whistleblower than ARB ( administrative review board) reversed judge decision as she suggests judge to allow retaliation claim to be processed because a claim has met the ACA protected activity. in this way how ACA protects injustice.

CASE that predates an ACA(affordable care act)

in 2010, under Obama's presidency, health insurance came into ACA, This case came into light by a republic state official, who argued when congress in 2017 zeroed out the penalty when did not get health insurance. ACA -affordable care act. health insurance is not a part of ACA under trump's presidency ACA soon dead and health care law will make suitable changes.

importance of ACA compliance with below laws

stark law-federal health care statue ACA allow following changes-

• physician allows to refer patients and has ownership interest
• new self relating protocol while violation of stark law

anti-kickback statute- makes illegal for taking bribe for generating medicare. ACA expands false claim act liability it is PPACA( patient protection ACA) Also called Obamacare

fraud, waste, and abuse claim- ACA has provision for improper payment in medicare, children's health insurance. ACA protect for any fraud in terms of payment in health insurance.