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January 17, 2014

Fighting Health Care Fraud: The Power of One
By Lisa McElroy

Can a single federal prosecutor make much of a difference in the war against health care fraud? Yes, a new analysis of Justice Department statistics suggests. And the stakes are enormous: Fraud is thought to cost the Medicare program alone up to $90 billion each year. The analysis — from the Transactional Records Access Clearinghouse (TRAC), a nonprofit group based at Syracuse University — shows that federal prosecutors filed a record number of new health care fraud cases in fiscal 2013: 377, or more than one for every day of the year. The U.S. Attorney’s Office for the Southern District of Illinois, which covers 38 counties and a population of about 1.2 million, led the way, with a prosecution rate that was more than eight times the national average.

Transactional Records Access Clearinghouse, Syracuse University
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