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Health care fraud: guilty until proven innocent
1American Hospital Association, Chicago, IL, USA.
Michigan Health & Hospitals
|December 8, 1997
Summary
The Department of Justice (DOJ) elevated health care fraud to its second-highest priority in 1994. This initiative involved discussions with US Attorney
Area of Science:
- Health Law
- Criminal Justice
- Public Health Policy
Background:
- In 1994, the Department of Justice (DOJ) significantly re-prioritized health care fraud.
- This shift placed health care fraud as the second-highest priority, below only violent crime.
Purpose of the Study:
- To examine the implications of the DOJ's heightened focus on health care fraud.
- To understand the DOJ's strategic shift in combating healthcare-related criminal activities.
Main Methods:
- The special prosecutor for health care fraud visited US Attorney's offices nationwide.
- Meetings were held with representatives from the American Hospital Association and the American Medical Association.
Main Results:
- The DOJ's reassignment signaled a major federal commitment to prosecuting health care fraud.
- Discussions likely focused on enforcement strategies and inter-organizational cooperation.
Conclusions:
- The DOJ's actions indicated a new era of scrutiny and enforcement for healthcare fraud.
- This prioritization aimed to deter and prosecute fraudulent activities within the healthcare sector.