Health Care Fraud Prosecution Project Demonstration Sites in Minnesota, Wisconsin, and Maryland: The First Two Years

• NCJ Number: 178308
• Author(s): David Orbuch; Barbara Oswald; Sidney Rocke
• Date Published: 1998
• Length: 28 pages
• Grant Number(s): 95-DD-BX-0089
• Sponsoring Agency: Bureau of Justice Assistance (BJA)
• Corporate Author: National Assoc of Attorneys General
• Sale Source: National Assoc of Attorneys General
• Publication Format: Document
• Language: English
• Country: United States of America

Annotation

This report describes work completed by three State Attorneys General to establish prototype Health Care Fraud Prosecution Units (HCFUs).

Abstract

The report identifies techniques that state Attorneys General can use to combat health care fraud. Minnesota's experience is an example of marshaling the many resources of the Attorney General's office, while details of Maryland's experiences demonstrate organizational issues. The Wisconsin HCFU developed case law and worked with insurance companies. The report discusses the cost of health care fraud; using State Attorney General resources and the role of the State Attorney General; legal reform and legislative advocacy issues; educating consumers on evidence of insurance fraud; organizational structures; and HCFU collaboration and outreach. There is no single approach to the problem of health care fraud; each State must design a program to identify the greatest needs and to maximize resources available to respond. One of the most promising developments is partnerships between States and the insurance industry. Notes