Which statement best describes how the False Claims Act and Stark Law influence managed care operations?

Which statement best describes how the False Claims Act and Stark Law influence managed care operations?

• A. They solely regulate patient privacy and data security.
• B. They enforce anti-fraud and anti-kickback standards; Stark Law restricts physician referrals to entities with financial relationships; compliance programs mitigate penalties.
• C. They govern the pricing of premiums and capitation.
• D. They require every provider to participate in an accredited quality program.

Answer: (B)