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SEMINARS 2026

OUR SPEAKERS 2026

Join vibrant discussions at Consilium Seminars: every other Thursday at 5pm London time

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SEMINARS 2026

Ambulance Taxis: The Impact of Regulation and Litigation on Health Care Fraud

February 12, 2026, 5pm London UK time

Riley League, PhD

This talk is about the effectiveness of pay-and-chase lawsuits and upfront regulations for combating health care fraud. Between 2003 and 2017, Medicare spent $7.7 billion on 37.5 million regularly scheduled ambulance rides for patients traveling to and from dialysis facilities even though many did not satisfy Medicare’s criteria for receiving reimbursements. Using an identification strategy based on the staggered timing of regulations and lawsuits across the US, we find that adding a prior authorization requirement for ambulance reimbursements reduced spending much more than pursuing criminal and civil litigation did on their own. No evidence was found that prior authorization affected patients’ health.

Video | Slides

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