According to the National Health Care Anti-Fraud Association, fraudulent healthcare transactions account for as much as 5 percent ($94 billion) of the $1.9 trillion spent on healthcare in 2004.
Blue Cross and Blue Shield Plans’ anti-fraud efforts in 2005 resulted in overall savings and recoveries of more than $249 million, an 11 percent increase from 2004. Of the $249 million, $144 million (58 percent) was recovered from improper payments, up 21 percent from 2004.
Source: Blue Cross and Blue Shield Association (2006) Blue Cross and Blue Shield Plans’ Anti-Fraud Savings and Recoveries Increased 11 Percent in 2005
