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Did You Know?
Healthcare Costs
An estimated $24 million per hour is attributed to waste, fraud, and abuse in the U.S. healthcare system.
Healthcare costs continue to escalate – now at 15% or more per year.
The annual cost of medical errors is $37.6 billion or about $4.3 million per hour.
-- Agency for Healthcare Research and Quality
The annual price tag for financial errors in healthcare is $108 billion or about $12.3 million per hour.
-- Centers for Medicare and Medicaid Services
Healthcare fraud cost $83 billion per year – about $9.4 million per hour.
-- National Center for Policy Analysis and BCBS
Two of every three dollars federal authorities recovered from frauds against the government come from health care fraud. - $1.6 billion.
-- The Justice Department
Healthcare Fraud
In 2007, ten individuals, including four doctors, were indicted in a scheme to defraud patients and insurance companies in connection with allergy testing and shots.
In 2006, Healthcare fraud accounted for $2.75 billion of the $3.1 billion collected in fraud settlements and 58 of the 96 major fraud cases that year.
-- U.S. Attorney’s Office
In 2006, a doctor and his wife were indicted for diverting over $500,000 in employee benefit plan assets from Maryland School Districts and other businesses.
In 2006, an attorney and TPA owner were ordered to jointly make restitution of $24,678,000 from an employee benefit plan fraud scheme.
In 2005, Rent-A-Patient Scam artists targeted and recruited insured employees from over 44 states to divert over $500 million dollars from employer sponsored plans over a 24 month period.
A 2004 report indicated that organized crime was diverting money from legitimate providers by targeting employer benefit plan dollars.
-- Office of Inspector General, U.S. Department of Labor
In 2003, an insurance company paid a settlement of $470 million with more than 700,000 doctors who claimed in a class-action lawsuit that insurers inappropriately cut payments to them and interfered with their recommended treatment for patients.
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