False claims settlements in healthcare reached $1.8B in fiscal year 2023

Healthcare DIVE February 26, 2024
Emily Olsen

According to the Department of Justice, enforcement in Medicare Advantage is of “critical importance” as the number of beneficiaries in the privatized insurance program swells.

Dive Brief:

• Settlements and judgments under the False Claims Act reached record-breaking numbers last year, with the majority of actions involving the healthcare industry, according to the Department of Justice.
• The agency tallied more than $2.68 billion in FCA settlements and judgments in the fiscal year ended Sept. 30, 2023, including more than $1.8 billion related to managed care providers, hospitals, pharmacies, laboratories, long-term acute care facilities and physicians.
• Medicare Advantage enforcement is of “critical importance,” the DOJ said. As the number of beneficiaries enrolled in the privatized insurance coverage rises, stakeholders have raised...

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