2023 Health Care Fraud and Abuse Control Program Report Reveals $3.4 Billion in Fraud Recovery
Highlights
The OIG and DOJ released an annual report detailing $3.4 billion in healthcare fraud and abuse recoveries and the exclusion of 2,112 individuals and entities from federal programs
Pandemic-related fraud remains a particular focus for government enforcement authorities
The report emphasizes that federal and state authorities, as well as private insurers and fraud watchdog groups, are coordinating more than ever before, through data sharing and collaboration
The 2023 Health Care Fraud and Abuse Control (HCFAC) Program Annual Report, jointly released by the Department of Health and Human Services (HHS) and the Department of Justice (DOJ), highlights significant strides in combating fraud, waste, and abuse across federal healthcare programs this year. Total recoveries reached over $3.4 billion, nearly double the prior year’s total. This increase can be attributed to several factors including a return to full enforcement activities following pandemic-related slowdowns, a record number of high-value settlements under the False Claims Act, and the aggressive use of data analytics and Strike Force operations to target complex fraud schemes.
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