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Health Agencies Update
April 28, 2015

Billions Recovered by Anti–Health Care Fraud Effort

JAMA. 2015;313(16):1608. doi:10.1001/jama.2015.3821

Health care fraud prevention and enforcement efforts by the Department of Health and Human Services and the Department of Justice recovered $3.3 billion in taxpayer dollars last year from individuals and companies that attempted to defraud federal health programs, including those that serve older adults, persons with disabilities, and individuals with low income (http://1.usa.gov/1AKL1db).

The Health Care Fraud and Abuse Control program recovered $7.70 for every dollar spent on health care–related fraud and abuse investigations in the last 3 years. “New enrollment screening techniques and computer analytics are preventing fraud before money ever goes out the door,” said Health and Human Services Secretary Sylvia Mathews Burwell. “With these outstanding results, we are sending the unmistakable message that we will not waver in our mission to pursue fraud, to protect vulnerable communities, and to preserve the public trust,” added US Attorney General Eric Holder.