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March 8, 2000

Fairness in Fraud and Abuse Enforcement

Author Affiliations

Phil B.FontanarosaMD, Deputy EditorIndividualAuthorStephen J.LurieMD, PhD, Fishbein FellowIndividualAuthor

JAMA. 2000;283(10):1289-1290. doi:10.1001/jama.283.10.1287

To the Editor: Contrary to Dr Sage's1 claims, Medicare continues to be a fee-for-service program, with nearly 85% of beneficiaries and 90% of expenditures in the fee-for-service sector. The Health Care Financing Administration (HCFA), with fewer employees than it had when founded in 1977, deals not with "a few dozen contractors" but with 807,674 physicians, 6190 hospitals, and thousands of other providers and suppliers, who submit nearly 1 billion claims per year.