Healthcare Costs - Prevalence and Prosecution of Healthcare Fraud

In August 2009, the American Medical AssociationJustice and Health and Human Services have
reported that a study conducted at the Georgeformed a joint fraud prevention and enforcement
Washington University Medical Center reveals thatcommittee to pursue and root out healthcare
nearly 10 percent of all healthcare costsfraud.
estimated to be $2.3 trillion in 2007 -- arePresident Obama also recently signed new law
fraudulent. The problem was called systemic andamendments that broaden the government's
found to affect both private and public insurersability to leverage the False Claims Act to
who service individuals, employers group policiesprosecute healthcare fraud. In addition, the Obama
and public aid programs.administration's proposed budget for 2010 includes
The most common fraud practices that drive upthe allocation of $311 million -- a 50 percent
healthcare costs are false billing, referralincrease over the previous year to beef up
kickbacks, wrongfully coded services, and bundlingMedicare and Medicaid healthcare fraud prevention
of services not delivered. The report attributes 80efforts. It is estimated that reducing healthcare
percent of the healthcare billing fraud to healthfraud in these public programs will save the
care entities, 10 percent to consumers, and thegovernment $2.7 billion in healthcare spending over
remainder to a mix of insurers and theirfive years.
employees.Obama's proposed fiscal 2010 budget also calls for
The incidence of healthcare fraud in the privateinfusing an additional $311 million -- a 50% increase
sector is less widely known and recognized by theover 2009 funding -- to strengthen Medicare and
public than that which occurs in the Medicare andMedicaid fraud-fighting programs. The government
Medicaid programs because the government isreports that working with law enforcement
obligated to publish this information.officials to prosecute healthcare fraud recovered
One flagrant example of healthcare fraud detailed$1.1 billion in 2008.
in the report were allegations that one largeSome of the initiatives the Justice Department is
insurance company manipulated its billing practicestaking to reduce healthcare fraud include:
for out-of-network physician reimbursement toSpecialized training in technology for investigators.
drive up healthcare costs by up to 28 percent.Careful data analysis of Centers for Medicare and
The report also uncovered large financialMedicaid Services.
settlements made by several pharmaceuticalDelivery of training and resources to health care
companies and hospital systems for fraudulententities to enable better detection and prevention
billing of the Medicare and Medicaid programs.of fraud and billing errors.
The federal government is taking steps to stemStronger supervision of Medicare Advantage and
systemic fraud in healthcare. The Departments ofprescription medication plans.