Home > Fraud and Abuse, Health Law Reform -- General, Improving Healthcare > In new effort to tackle health care fraud, government and insurers to scrutinize claims data

In new effort to tackle health care fraud, government and insurers to scrutinize claims data

The Obama administration is upping the ante in the fight against health care fraud, joining forces with private insurers and state investigators on a scale not previously seen in an attempt to stanch tens of billions of dollars in losses.

Health and Human Services Secretary Kathleen Sebelius said in a statement Thursday that the new public-private partnership “puts criminals on notice that we will find them and stop them,” while Attorney General Eric Holder called it “a critical step forward” against fraud, an endemic problem plaguing programs like Medicare and Medicare as well as private insurance companies.

The analysis of data from Medicare, Medicaid and private health plans will look for suspicious patterns and other evidence that might indicate fraud, White House officials said. A “trusted third party” would comb through the data and turn questionable billing over to insurers or federal investigators.

See on www.washingtonpost.com

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