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Capitol Health Call
January 9, 2013

Medicare Fraud

JAMA. 2013;309(2):126. doi:10.1001/jama.2012.190493

Medical facilities, such as medical centers, clinics, and practices, and suppliers of durable medical equipment were the most frequent subjects of criminal fraud cases involving Medicare, Medicaid, and the Children's Health Insurance Plan in 2010, said a Government Accountability Office (GAO) officer during a House subcommittee hearing.

Kathleen M. King, the GAO's director of health care, testifying before members of the House Committee on Energy and Commerce's Subcommittee on Health, said that in 2010, of the 7848 individuals and entities investigated in criminal health care fraud cases, about one-quarter were medical facilities or were affiliated with such facilities; 16% were durable medical equipment suppliers.