Healthcare Fraud And Abuse Essay
Fraud and abuse in the United States' healthcare system have attracted a lot of attention in recent years. The healthcare system in the United States has been overwhelmed by massive fraud and abuse tactics, with far-reaching ramifications for the government, lawmakers, and the public. The government has had to allocate significant resources to monitor and control fraud and abuse in the healthcare industry. Lawmakers have also been in the hook to pass new laws and regulations to stop fraud and abuse in the healthcare system. On the other hand, the public has had to bear the problem of higher healthcare costs due to fraud and abuse in the system. The focus of this paper is to examine the effects of fraud and abuse in the U.S. healthcare system …show more content…
healthcare system on the government is significant. Fraud and abuse result in the loss of billions of dollars in taxpayer money, making it more difficult for the government to provide essential healthcare services to its citizens. According to the National Health Care Anti-Fraud Association, health care frauds leads to a loss of approximately 68 billion dollars per year, which is around three percent of United States’ $2.26 trillion spent on healthcare per year (Bcbsm.com, 2023). The cost of investigating and prosecuting fraudulent activities also puts a strain on government resources, making it more difficult for the government to allocate resources to other important areas, such as education and infrastructure (Sparrow, 2019). Lawmakers have also been affected by fraud and abuse in the healthcare system. They are under pressure to pass new laws and regulations to control and prevent fraudulent activities in the healthcare system while maintaining public trust. Lawmakers must navigate a complex and constantly evolving issue, considering the interests of all stakeholders, including the government, health care providers, and the …show more content…
One of the major initiatives is the Healthcare Fraud and Abuse Control Program (HCFAC). This program collaborates with the government and private healthcare providers to identify and prevent healthcare fraud and abuse (Cms.gov, 2017). The program aims to increase the detection and prosecution of healthcare fraud, reduce the incentives for fraudulent behavior, and increase public trust in the healthcare system. Another private sector initiative is using technology to prevent fraud and abuse in the health care system. For example, many healthcare providers have implemented electronic medical records systems that allow for real-time monitoring and tracking of healthcare claims. This has helped to identify fraudulent activities more quickly, reducing the impact of fraud and abuse on the healthcare
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