Tuesday, March 11, 2014

HHS/DOJ Release 2013 HCFAC Report


The U.S. Department of Health and Human Services (HHS) and the U.S. Department of Justice (DOJ) released its annual Health Care Fraud and Abuse Control (HCFAC) report, showing that for every dollar spent on health care related fraud and abuse investigations through this and other programs in the last three years, the federal government recovered $8.10. This is the highest three-year average return on investment in the 17-year history of the HCFAC program. According to the report, the federal government won or negotiated over $2.6 billion in health care fraud judgments and settlements in FY 2013. As a result of these efforts, as well as those of proceeding years, approximately $4.3 billion was deposited with the US Department of the Treasury and the Centers for Medicare & Medicaid Services (CMS), transferred to other federal agencies administering health care programs or paid to private persons. Of this $4.3 billion, the Medicare Trust Funds received transfers of approximately $2.85 billion during this period, and over $576 million in federal Medicaid money was similarly transferred separately to the Treasury as a result of these efforts. The HCFAC account has returned over $25.9 billion to the Medicare Trust Funds since the inception of the program in 1997. Due to sequestration in 2013, there were fewer resources for HHS and DOJ to fight fraud and abuses. A total of $30.6 million was sequestered from the HCFAC program in 2013. Obtain a complete copy of the HHS/DOJ report. To obtain an HHS/DOJ press release of the report go to the HHS website.

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