The differences and similarities between American and Italian healthcare fraud, waste, and abuse laws: Part 1

November 1, 2021

By: Pamela Coyle Brecht , Marc Stephen Raspanti

About the Authors

By Pamela Coyle Brecht, Esq.; Paola Sangiovanni; and Marc Stephen Raspanti, Esq.

Pamela Coyle Brecht ( serves as Pietragallo Gordon Alfano Bosick & Raspanti LLP’s Practice Chair for the firm’s global Qui Tam/False Claims Act Practice Group in Philadelphia, PA. Paola Sangiovanni ( is a life sciences lawyer and partner in the law firm of Gitti and Partners, which is located in Milan, Italy. Her clients include med tech, pharma, and healthcare providers. Marc Stephen Raspanti ( is a name partner of Pietragallo Gordon Alfano Bosick & Raspanti LLP, located in Philadelphia, PA. He is the founder of the firm’s White Collar Criminal Defense Practice Group as well as the firm’s Qui Tam/False Claims Act Practice Group.


  • There is one major challenge confronting American and Italian healthcare systems—providing healthcare that is effective, innovative, devoid of fraud, and cost effective.
  • In the prevention of fraud, waste, and abuse, the American healthcare system is a complex web of government agencies, private organizations, and individuals (whistleblowers).
  • Foreign providers/manufacturers in America should take private insurance company audits and investigations seriously as they can easily lead to full-blown federal or state criminal and/or civil fraud investigations.
  • Whistleblowers do not need to be US citizens or even live in the US; they can live or work anywhere in the world.
  • Corporate and competitor qui tam suits are on the rise, perhaps in response to insidious large-scale fraud plaguing an entire industry.


Copyright 2021 Compliance Today, a publication of the Health Care Compliance Association (HCCA).

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