Health Care Fraud – The Perfect Storm


Today, health care fraud is all over the news. There undoubtedly is fraud in medical care. The same is true for every business or endeavor touched by human hands, e. g. banking, credit, insurance, politics, etc . There is no question that health care providers who abuse their position and our trust to steal are a problem. So are those from other professions who else do the same.

Why does healthcare fraud appear to get the ‘lions-share’ of attention? Could it be that it is the perfect vehicle to drive agendas for divergent groups where taxpayers, medical consumers as well as health care providers are dupes in a health care scams shell-game operated with ‘sleight-of-hand’ precision?

Take a closer look and one finds this is no game-of-chance. Taxpayers, consumers and also providers always lose because the problem with health-related fraud is not just the scam, but it is that our government and insurers use the fraudulence problem to further agendas while at the same time fail to be accountable along with take responsibility for a dupery problem they facilitate and allow to flourish.

1 . Astronomical Cost Estimates

What better way to report on fraud then to tout fraud cost estimates, e. g.

— “Fraud perpetrated against both public and private health plans costs between $72 in addition to $220 billion annually, increasing the cost of medical care and health insurance and undermining public trust in our health care system… It is no longer a secret that sham represents one of the fastest growing and most costly forms of crime in America today… We pay these costs as taxpayers and through higher health insurance premiums… We must be proactive in combating health care deception and abuse… We must also ensure that law enforcement has the tools that it needs to deter, detect, and punish health care theft. ” [Senator Ted Kaufman (D-DE), 10/28/09 press release]

: The General Accounting Office (GAO) estimates which fraud in healthcare ranges from $60 billion to $600 billion dollars per year rapid or anywhere between 3% plus 10% of the $2 trillion health care budget. [Health Care Finance News reports, 10/2/09] The GAO is the investigative arm of Congress.

instructions The National Health Care Anti-Fraud Association (NHCAA) reports over $54 million is stolen every year within scams designed to stick us and our insurance companies with fraudulent and even illegal medical charges. [NHCAA, web-site] NHCAA was created and is funded through health insurance companies.

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