Fierce Healthcare February 23, 2024
Under the False Claims Act, more than $1.8 billion in settlements and judgments was related to health-related matters in the last fiscal year, about two-thirds of the monetary fraud recoveries by the Department of Justice (DOJ).
Scams took place across the industry, affecting managed care providers, hospitals, pharmacies and long-term acute care facilities. The agency said Feb. 22 that $1.8 billion refers to recoveries “arising only from federal losses,” but it often recovered more for state Medicaid programs.
The total fraud figure jumps to more than $2.68 billion once including all other types of reported fraud.
Health law expert Bill Sarraille said the findings are a warning shot for health plans.
“The press release goes out of its way to...
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