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Expanding Access to Quality and Affordable Care

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Expanding Access to Quality and Affordable Care

Cost of Healthcare Fraud

Healthcare fraud costs the nation about $60 billion annually.


  • The National Health Care Anti-fraud Association estimates that $60 billion of healthcare payments are lost to outright fraud.

  • Blue Cross and Blue Shield System anti-fraud efforts in 2006 resulted in overall savings and recoveries of more than $187 million. Of that, $128 million was recovered from payments based on fraudulent claims. More than $58 million was saved by identifying and denying fraudulent claims prior to payment.

 

Source: Blue Cross and Blue Shield Association (2006) Blue Cross and Blue Shield Plans’ Anti-fraud Savings and Recoveries Increased 11 Percent in 2005


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