Insurers Join HHS in Fighting Healthcare Fraud
Acknowledging a fragmented system that has enabled "fraudsters to take advantage," the Department of Health and Human Services is again ratcheting up its efforts to uncover healthcare fraud.
HHS announced Thursday that more than 20 groups, including state and local officials, public and private payers, and federal law enforcement agencies, will be part of public-private partnership whose primary goal will be to share experiences in uncovering and thwarting healthcare fraud.
The partnership will share information on fraud trends and best practices to help law enforcement agencies more effectively tackle the fraud challenge. The initial focus is expected to be on specific schemes, billing codes, and geographic hotspots popular with fraudsters. A long-range goal is to use technology and data analytics to predict and detect Medicare and other fraud schemes.
Healthcare fraud costs the country an estimated $80 billion each year, according to the Federal Bureau of Investigation.
- Transforming Decision Support and Reporting
- In Lakeport, CA, a Population Health Laboratory is Born
- Nurse Ethics Comes to a Head at Guantanamo Bay
- Providers Prep for New Payment Models as Population Health Grows
- CMS Mulls Income-Adjusting MA Stars
- Providers' Push to Consolidate Roils Payers
- Slideshow: Healthcare Executives Eye Efficiency
- As Retail Clinics Surge, Quality Metrics MIA
- Upfront costs of going digital overwhelm some doctors
- 3 Ways to Rev Employee Development Programs