Anti-Fraud Efforts Reap Nearly $3 Billion

Medicare, Medicaid recoveries both grew in FY 2009
Anti-Fraud Efforts Reap Nearly $3 Billion
The government's Medicare anti-fraud efforts resulted in the recovery of $2.51 billion in fiscal 2009, up 29 percent from the previous year, according to a new report.

In addition, more than $441 million in Medicaid money was retrieved as a result of anti-fraud efforts, a 28 percent increase from 2008, according to the 2009 Health Care Fraud and Abuse Control Program Report.

U.S. Attorney's offices opened 1,014 new criminal health care fraud investigations involving 1,786 defendants in fiscal 2009, according to the report.

In touting the results, federal officials also called attention to ramped-up anti-fraud efforts in the works as a result of the recently passed healthcare reform bill, the Patient Protection and Affordable Care Act.

In addition to strengthening law enforcement capabilities, the new law "will help shift the emphasis from the old model of 'pay and chase' to a new model that puts a premium on fraud prevention and program integrity," according to a statement from Secretary of Health and Human Services Kathleen Sebelius and Attorney General Eric Holder.

About the Author

Howard Anderson

Howard Anderson

Former News Editor, ISMG

Anderson was news editor of Information Security Media Group and founding editor of HealthcareInfoSecurity and DataBreachToday. He has more than 40 years of journalism experience, with a focus on healthcare information technology issues. Before launching HealthcareInfoSecurity, he served as founding editor of Health Data Management magazine, where he worked for 17 years, and he served in leadership roles at several other healthcare magazines and newspapers.

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