Fraud Waste and Abuse Fact: August

DOJ and HHS Annual Report Highlights $3.3 Billion in Settlements and Judgments in FY 2014

“On March 19, 2015, the Department of Justice (DOJ) and Department of Health and Human Services (HHS) issued their annual Health Care Fraud and Abuse Control (HCFAC) Program report highlighting that the HCFAC Program obtained $3.3 billion in health care fraud judgments and settlements in FY 2014. Of this amount, the Medicare Trust Fund received $1.9 million and private relators received $369 million. The report also noted that more than $27.8 billion has been returned to the Medicare Trust Fund since the 1997 implementation of the HCFAC Program – a joint DOJ/HHS effort to combat health care fraud.”

“In FY 2014, the DOJ opened 782 new civil health care fraud investigations and had 957 civil health care fraud matters pending at the end of the fiscal year. During the same period, the DOJ opened 924 new criminal health care fraud investigations and filed criminal charges in 496 cases involving 805 defendants. The joint report highlights certain cases and recoveries against medical device companies, pharmaceutical manufacturers, hospitals, physicians, managed care organizations, pharmacies, and other providers.”

Source:

http://www.healthlawpolicymatters.com/2015/04/06/doj-and-hhs-annual-report-highlights-3-3-billion-in-settlements-and-judgments-in-fy-2014/