Corporate Integrity Agreement: Preferred Partner or Liability? (with Jillian Marcus)

Most healthcare operators hear "Corporate Integrity Agreement" and picture a punishment. Jillian Marcus, Chief Compliance Officer at Envision Healthcare, found the opposite. In this episode of The Compliance Advantage, she joins Ross Ronan to explain how a Corporate Integrity Agreement (CIA) turned her organization into a trusted, preferred partner with the Office of Inspector General (OIG), and how that same trust carried into stronger relationships with the hospitals and health systems she serves. Jillian started as a litigator, moved into healthcare law, and spent years as a general counsel before she moved into compliance. She explains why the government wants compliance to sit apart from legal, reporting straight to the CEO and the board, and how her CEO's "first team" idea reshaped the way she leads a large compliance team. The talk gets practical fast. Jillian breaks down how to make compliance approachable instead of rigid, why the right compliance officer is a hard hire to get wrong, and how the government's own audit priorities (UPIC, RAC, CMS, and the monthly OIG work plan) hand you a roadmap for where to look. She also makes the money case plainly. With the Department of Justice (DOJ) reporting $5.7 billion in recoveries for 2025, most of it healthcare False Claims Act cases, a small investment in the program now protects the profits you already earned. In this episode: -How a Corporate Integrity Agreement can build trust with the OIG -Why compliance should report to the CEO and board, not legal -The "first team" mindset that makes compliance a real partner -How to make compliance approachable, not rigid -Using the OIG work plan and federal audits to focus your own -The case for compliance as a driver of enterprise value -A grounded look at compliance as a strategic advantage, not a cost center. About the guest: Jillian Marcus is the Chief Compliance Officer at Envision Healthcare. She started as a litigator, moved into healthcare law, and spent years as a general counsel before stepping into compliance leadership, where she now runs a large compliance team. Connect with Jillian on LinkedIn:   / jillian-marcus-07200a6