Insurers Join With Obama To Battle Health Care Fraud

July 28, 2012 | By
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Humana Inc., a Fortune 100 company that markets and administers health insurance, CEO Michael McCallister stands for a portrait in New York March 4, 2011. REUTERS/Shannon Stapleton

A slew of major health insurers have joined forces with the Obama administration to prevent health care fraud.

The new partnership was created to share information and best practices to improve detection and prevent payment of fraudulent health care billing.

Since the administration has stepped up efforts to squelch health fraud three years ago, $10.7 billion has been recovered nationwide, officials say.

The partnership builds on existing tools provided by the Affordable Care Act, resulting in tougher sentences for people convicted of health care fraud. Criminals will receive 20 percent to 50 percent longer sentences for crime that involves more than $1 million in losses.

The partnership will enable those on the front lines of industry anti-fraud efforts to share their insights more easily with investigators, prosecutors, policymakers and other stakeholders. It will help law enforcement officials to more effectively identify and prevent suspicious activities, better protect patients’ confidential information and use the full range of tools and authorities provided by the Affordable Care Act and other essential statutes to combat and prosecute illegal actions.

Read more: BizJournals

 

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Category: NATIONAL, WELL-BEING

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