How has the history of healthcare compliance changed since its inception?

How  has the history of healthcare compliance changed since its inception?   Hint:  Look at the ways in which penalties have increased in various  ways.  Describe your responsibilities as a healthcare manager as it  applies to fraud and abuse.  What do you see for the future of  healthcare reform as the law applies?  Will healthcare reform spawn new  laws, or will new laws be enacted to guide reform?

Must be at least 400 words long with at least 2 references.