Friday, October 5, 2012

Health Care Fraud - DOJ Carries Through on Promise

The Medicare Fraud Strike Force activities of yesterday were impressive (see here), but not new for the present AG's office. AG Holder promised  that health care fraud would be a priority, and he has carried through with this promise. In this recent instance we are seeing 91 individuals being indicted across the country in a massive "Medicare Fraud Takedown." Assistant AG Lanny Breuer stated that "[t]his represents one of the largest Medicare fraud takedowns in Department history, as measured by the amount of alleged fraudulent billings." AG Holder noted that "[s]ince the first Strike Force was launched in 2007, these teams have charged nearly 1,500 defendants for falsely billing the Medicare program more than $4.8 billion." 

Although I have not counted them, I can note that the DOJ press releases coming through my emails definitely support their claim that health care fraud has been a top priority for this DOJ.

Some may argue that those being indicted here are not the real offenders in the system - after all, how many lower level individuals get caught in instances of trying to do what they think is required of them in their job. But two things come from any large scale prosecution such as this one: 1) with convictions will come general deterrence - in that they will be sending a message to others in the system that fraudulent conduct will not be tolerated; and 2) through these indictments, are likely to come more prosecutions as individuals plead guilty and offer to cooperate with the government.


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For healthcare fraud, I noticed that they have stepped up on the arrests but I think they're understaffed and it allows people to get away with it still.

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