The Department of Health and Human Services reported that over the past three years, every dollar spent on fighting health care fraud and abuse investigations has resulted in a recovery of $7.90. This is the highest three-year average return on investment in the history of the Health Care Fraud and Abuse (HCFAC) Program, according to HHS.
- According to HHS, accomplishments in fighting fraud have included:
- Recovering a record $4.2 billion in taxpayer dollars in 2012, up from nearly $4.1 billion in FY 2011.
- Recovering $14.9 billion over the last four years, up from $6.7 billion over the prior four-year period.
- Returning about $4.2 billion in stolen or otherwise improperly obtained funds to the Medicare Trust Funds, the Treasury and others in fy 2012.
- Obtaining settlements and judgments of more than $3 billion in 2012 under the False Claims Act.
- Beginning the process of screening all 1.5 million Medicare-enrolled providers through a new system that quickly identifies ineligible and suspect providers and suppliers prior to enrollment, resulting in nearly 150,000 ineligible providers being eliminated from Medicare’s billing system.
- Establishing the Command Center to improve health care-related fraud detection and investigation and reduce fraud and improper payments in Medicare and Medicaid.
Related FAQs
How Does the Affordable Care Act (ACA) Change the Way the Government Fights Medicare Fraud?
Will There Be Stiffer Penalties for Those Committing Medicare Fraud Under the Affordable Care Act (ACA)?
What Are the Key New Tools for Detecting and Preventing Medicare Fraud?
How Much Is Spent on the Government’s Efforts to Fight Medicare Fraud, Waste and Abuse Each Year?
Who Are the Members in Congress to Watch Regarding Medicare Fraud?
