How Big is Insurance Fraud?

How big is insurance fraud? It’s this big.

It’s so big, it’s difficult to understand. Take, for instance, the largest national health care takedown in U.S. history. According to the DOH, it took place last month:

More than 600 people were charged, including 165 doctors, nurses, and other medical professionals

162 people (including 76 doctors) were charged with prescribing and distributing opioids and other dangerous narcotics

The total amount of fraudulent billings to Medicare, Medicaid, TRICARE, and private insurance companies exceeded $2 billion

The DOJ press release reported that many of the billings were for medically unnecessary treatments, prescriptions, and medications that were neither provided nor obtained by the individuals who were insured … and in whose names they were ordered. Other defendants are accused of paying kickbacks for providing personal information of insured persons to providers so they could submit phony billings to Medicare.

How much of our heath insurance premiums do you think foot the bill for this?

Published by

Linda McHenry

Linda is an insurance CE provider, course developer/writer, and instructor. She founded Faulkner Education Services in January 2006. She is also a novelist.

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