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Medicare Beneficiaries' Exposure To Fraud And Abuse Perpetrators
Lauren Hersch Nicholas1, Jodi Segal2, Caroline Hanson3
1Lauren Hersch Nicholas ( lauren.nicholas@jhu.edu ) is an assistant professor in the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, in Baltimore, Maryland.
Health Affairs (Project Hope)
|May 7, 2019
Abstract:
In the period 2012-15, 1,364 fraud and abuse perpetrators (FAPs) treated over 1.2 million Medicare beneficiaries and received more than $630 million in Medicare payments. Compared to beneficiaries treated by non-FAPs, beneficiaries exposed to FAPs were more likely to be nonwhite, dually enrolled in Medicaid, and disabled and younger than age sixty-five.