Health Care Fraud

Paper Summary:

This research paper discusses health care fraud. It offers three examples of this fraud affecting the health care industry today. It explains that this kind of fraud is on the increase and manifested in several different forms. It discusses what the authorities are doing to combat this phenomenon.

From the Paper:

"In the film Wall Street, financier Gordon Gecko proclaims, "Greed is good." It appears that a number of patients, health care providers, and others who handle financial transactions in the U.S. health care system, heartily endorse Gecko's philosophy. For up to $80 billion is stolen each year from taxpayers and insurers. Bolder scams arise all the time, and little is done to stop them. And as America's health-care bill spirals to an estimated $817 billion this year, it is attracting an ever more impudent and wily army of scam professionals. Experts now estimate that fraud and abuse in the health-care field cost somewhere between $50 billion and $80 billion each year a figure that dwarfs the estimated $5 billion lost through criminal fraud in the entire savings and loan debacle. And of course, consumers and businesses are paying for these health-care rip-offs in higher taxes and skyrocketing insurance premiums (Friedman)."

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