Study Shows U.S. Gets $16 For Every $1 Spent Fighting Healthcare Fraud

According to the organization, Taxpayers Against Fraud (“TAF”), the federal government receives over $16 for every $1 it spends investigating and prosecuting civil healthcare fraud.  This is even after subtracting the amount paid to whistleblowers.

Under the False Claims Act (“FCA”), healthcare fraud cases have grown significantly. Just 62 healthcare qui tam cases were recorded from 1987 to 1992 but 412 were recorded for last year alone.

Kmart To Pay $2.55M For FCA Fraud

The Kmart discount chain, in order to settle False Claims Act complaints, has agreed to pay $2.55 million.

Kmart violated the False Claims Act by billing Medicaid, the Federal Employee Health Benefits Program, and other health programs for all drugs included in a prescription in cases when it dispensed only part of the prescribed drugs.

More Incentives For Whistleblowers: New York Considers A New Law To Reward And Protect Whistleblowers

Tracking the whistleblower provisions of the Dodd-Frank Wall Street Reform and Consumer Protection Act, new legislation would establish whistleblower bounties and protections for information given to the New York State Department of Financial Services (“DFS”) – a super agency formed in October 2011 to regulate banks and insurance companies in New York.

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