Managed care fraud: to track down crime, federal officials follow the money trail

Article Abstract:

Fraud in the managed health care industry is increasing as criminals find new ways to deceive the system. Investigators are finding organizations that are only enrolling healthy or young patients, denying access to benefits or specialists, or enlisting medical personnel who are untrained or unlicensed. Some plans reneg on promises made at enrollment time. An interagency task force has been created to deal with the rising amount of crime.

Health Care, Health Care and Social Assistance, Medical care, Managed care plans (Medical care)

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Congress urged to toughen up on health fraud

Article Abstract:

A General Accounting Office report recommends that Congress form a national health care fraud commission to link claims payers with state regulators and law enforcement agencies. According to the report, about 10% of health care spending is lost to fraud. The report was released during a hearing on health care fraud held by the House Government Operations subcommittee on human resources and intergovernmental relations.

Legislative bodies, United States. Congress. House. Subcommittee on Human Resources and Intergovernmental Relations

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Fraud scandal closes California fertility clinic

Article Abstract:

Charges of wrongdoing have forced the closure of the University of California-Irvine's Center for Reproductive Health. Three doctors at the fertility clinic have been charged. At least one of them allegedly transferred eggs and frozen embryos from donors to other women without the donors' consent. The scandal raises concerns about accountability in the fertility field.

Research and Development in the Physical, Engineering, and Life Sciences, Outpatient Care Facilities, Outpatient Care Centers, Research and Testing Services, Gynecological R&D, Management, Cases, Ambulatory care facilities, Practice, Physicians, Medical professions, Ethical aspects, Fertility, Human, Human fertility, Clinics, Gynecological research, University of California (Irvine), Jacobson, Cecil, Asch, Ricardo H., Balmaceda, Jose, Van Blerkom, Jonathan, Reproductive Genetics In Vitro Inc.

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