Chapter 1: Healthcare Compliance Programs: From Murky Beginnings to Established Expectation

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Healthcare Compliance Programs: From Murky Beginnings to Established Expectation

“If you don't know where you’ve come from, you don't know where you’re going.”[4] —Maya Angelou

Understanding the expectations and operation of current healthcare compliance programs is very difficult without a fundamental grounding in how these programs have evolved over the past three decades. Like many things in life, the history of healthcare compliance is both complex and convoluted, involving multiple stakeholders with differing interests. Although healthcare compliance began as a response to the corporate and healthcare environment and rampant, unchecked fraud, healthcare compliance programs have emerged to become a societal expectation that also gave rise to an entirely new profession.

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