Using the False Claims Act to second-guess what patients need: Hungry relators, outsized DOJ recoveries, and the adverse consequences for American health care
The FCA’s aggressive use in health care cases by both the government and private parties means that nowadays, allegations go well beyond “fraud” in any traditional sense of that word, allowing the government and relators’ lawyers to retroactively second-guess physician decision-making, all the while wielding the formidable threat of treble damages and potentially crippling penalties.
Why Medicare & Medicaid fraud dwarfs commercial endevours
” Politicians are spending other people’s money, so their incentive to prevent fraud is far less. Therefore, fraud will always be higher in government programs than in similar market endeavors.” Continue reading
Medicare Loses Nearly 4 Times as Much Money as Health Insurers Make
Next time someone decries insurance company profits, remind him that fraud and waste in Medicare and Medicaid far exceed these dollar amounts. Check out Jeffrey Anderson’s article in the Weekly Standard: “Medicare Loses Nearly Four Times as Much Money as Health Insurers Make.” See also my previous post: “Medicare & Medicaid fraud far exceeds insurance company profits.”
