Literature DB >> 19738251

Combating fraud in health care: an essential component of any cost containment strategy.

Lewis Morris1.   

Abstract

Federal health care programs, including Medicare and Medicaid, are under attack by dishonest people who lie to the government and exploit its programs to steal taxpayers' money. The full extent of health care fraud cannot be measured precisely. However, the Federal Bureau of Investigation (FBI) estimates that fraudulent billings to public and private health care programs are 3-10 percent of total health spending, or $75-$250 billion in fiscal year 2009. Successful efforts to stop such abuses, without unduly burdening legitimate providers, require aggressive, innovative, and sustained attention to protect taxpayers and beneficiaries.

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Year:  2009        PMID: 19738251     DOI: 10.1377/hlthaff.28.5.1351

Source DB:  PubMed          Journal:  Health Aff (Millwood)        ISSN: 0278-2715            Impact factor:   6.301


  4 in total

1.  Prices don't drive regional Medicare spending variations.

Authors:  Daniel J Gottlieb; Weiping Zhou; Yunjie Song; Kathryn Gilman Andrews; Jonathan S Skinner; Jason M Sutherland
Journal:  Health Aff (Millwood)       Date:  2010-01-28       Impact factor: 6.301

2.  Detecting fraud, waste, and abuse in substance use disorder treatment.

Authors:  Melissa M Garrido; David K Jones; Alexander Woodruff; Kiersten Strombotne; Sivagaminathan Palani; Sarah Zahakos; Michael Adelberg; Steven D Pizer; Austin B Frakt
Journal:  Health Serv Res       Date:  2022-08-19       Impact factor: 3.734

3.  The effects of varying class distribution on learner behavior for medicare fraud detection with imbalanced big data.

Authors:  Richard A Bauder; Taghi M Khoshgoftaar
Journal:  Health Inf Sci Syst       Date:  2018-09-03

4.  Research on the Formation Mechanism of Health Insurance Fraud in China: From the Perspective of the Tripartite Evolutionary Game.

Authors:  Yun Fei; Yi Fu; Dong-Xiao Yang; Chang-Hao Hu
Journal:  Front Public Health       Date:  2022-06-23
  4 in total

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