Total recoveries under the False Claims Act since January 2009 to $ 17 billion.
As in previous years, the largest recoveries related to health care fraud, which reached $2. 6 billion.
In fiscal year 2013… $443 million in recoveries for state Medicaid programs
The $2. 6 billion in health care fraud recoveries in fiscal year 2013 marks four straight years the department has recovered more than $2 billion in cases involving health care fraud.
From January 2009 through the end of the 2013 fiscal year, the department used the False Claims Act to recover $12 .1 billion in federal health care dollars.
Of the $2. 6 billion in federal health care fraud recoveries, $1.8 billion were from alleged false claims for drugs and medical devices under federally insured health programs that, in addition to Medicare and Medicaid, include TRICARE.
(2014) Charges against 90 individuals, including 27 doctors, nurses and other medical professionals, for their alleged participation in Medicare fraud schemes involving approximately $260 million in false billings.
The Department of Justice’s Medicare Fraud Strike Force has charged nearly 1,900 individuals involved in approximately $6 billion of fraud.
$3.8 Billion—That is the approximate amount recovered by the federal government last year alone in settlements and judgments under the False Claims Act, 31 U.S.C. §§ 3729-33 (the “FCA” or the “Act”). This amount marks the second largest haul in history and the fourth consecutive fiscal year in which the government recovered more than $3 billion.
Number of FCA New Matters, Including Qui Tam Actions
Settlement or Judgments in Cases where the Government Declined Intervention as a Percentage of Total FCA Recoveries
FCA cases by year in different areas
Every $1 the U.S. government invests in combating Medicare and Medicaid fraud saves $1.55.
Fraud (and the extra rules and inspections required to fight it) added as much as $98 billion, or roughly 10%, to annual Medicare and Medicaid spending—and up to $272 billion across the entire health system.
Punishments have grown tougher: last year the owner of a mental-health clinic got 30 years for false billing.