WMAC7893 Module 10 RRM

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Georgia Southern University *

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Sociology

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Apr 3, 2024

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Robert Stinson WMAC 7839 Spring 2023 Module 10 Fraud can take many forms. Unfortunately, due to the massive number of expenditures, the US federal government is no exception. When the COVID pandemic began, lawmakers and other government officials were worried about the economic impacts. Businesses were shuttered, commerce waned, and people were rightfully worried about a possible recession. To keep money flowing into the economy, payments were made to individuals and businesses. Many businesses were eligible for programs like PPP loans to assist with payroll and EIDL loans to assist with funding operations. Individuals were eligible for grants, assistance with college tuition, and increased public benefits. As with any large government spending program, unscrupulous individuals and businesses attempted to defraud these programs. Health care fraud is a major stressor on government health care spending. According to the National Health Care Anti-Fraud Association (NHCAA), some government estimates place the impact at over $300 billion (2022). Health care fraud can be performed individually or collectively by organized groups. Doctors and other health care providers have been found guilty of billing Medicare and Medicaid for phony or unnecessary procedures. In addition to the financial concerns, it is important to remember the danger placed on patients in these scenarios. The NHCAA states penalties for these crimes are increasing as the federal and state governments take steps to prevent future occurrences. Increasing education is considered key to minimizing the impacts of fraud on government programs. The Paycheck Protection Program was created by Coronavirus Aid, Relief, and Economic Security (CARES) Act in spring 2020 to help business owners maintain their payroll spending. Millions of loans were granted to businesses to help minimize the impact of the pandemic. Many of these loans were forgivable, and the program helped many keep their employees working and businesses stay afloat. However, as with all government spending, nefarious actors worked to defraud the program. The speed which the program was rolled out increased the opportunities for fraudulent behavior. Financial technology companies were enlisted to quickly disperse loans to affected businesses. However, there was insufficient oversight of the loan approval process, leading to as many as a million fraudulent loans (Fast & Pfeiffer, 2022). Fintech companies raked in loan fees for the billions of dollars of loans disbursed. These loans and other fraudulent schemes led to the US Justice Department clawing back almost $6 billion in civil cases in 2021. CARES Act fraud was a major contributor to government fund recovery. The prevalence of fraud in government spending has led to increased efforts to combat fraud schemes. Criminal investigations have become more prevalent against medical business executives, health care billers, and people manufacturing counterfeit COVID vaccination cards. According to the Justice Department, the inappropriate use of government funding is a major concern. Cases are prioritized by impact and charges are often sought against perpetrators. Cross-governmental cooperation is being encouraged to stamp out fraudulent actors. Defrauding the government is a relatively common occurrence. Given the speed needed to keep the economy rolling, it is reasonable to expect some fraud to occur. However,

Robert Stinson WMAC 7839 Spring 2023 government agencies are just now beginning to understand the full impact of fraudulent claims. Efforts will continue among lawmakers and law enforcement to stamp out the efforts of nefarious actors.

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