Data-Driven False Claims Act Enforcement in Health Care is transforming how regulators investigate fraud and abuse. In this episode of the American Health Law Association Health Law Connections Top 10 series, StoneTurn Managing Director Okem Nwogu explores one of the most consequential enforcement shifts facing the health care industry: the move from volume-driven fraud investigations to data-powered, ecosystem-wide scrutiny under the False Claims Act.

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In the fourth episode of AHLA’s annual Health Law Connections Top 10 series, Okem Nwogu speaks with Megha Mathur, Associate at Barnes & Thornburg LLP, about emerging trends in health care fraud and abuse enforcement and how organizations should prepare in response.

Their discussion examines the shift in enforcement from volume to scale, as government investigations increasingly target interconnected business ecosystems rather than isolated actors. They explore common compliance breakdowns in high-risk areas such as telehealth and risk-adjustment coding, the growing link between reimbursement and liability in Medicare Advantage, and how data analytics is reshaping enforcement strategy.

The episode concludes with a forward-looking discussion on how health care organizations must adapt their compliance strategies to a more proactive, data-driven regulatory environment. The overarching takeaway: in 2026, compliance must be operational, data-informed, and empowered — not simply policy-based or reactive.

Watch the episode here.

If you have any questions or would like to discuss how StoneTurn can help, reach out to Okem Nwogu.

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About the Authors

Okem Nwogu, StoneTurn Managing Director

Okem Nwogu

Okem Nwogu, a Managing Director with StoneTurn, brings nearly two decades of experience in analytical and strategic insights for litigation and management consulting matters. Okem is an applied economist that […]

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