Analyze a Contemporary Health Care Issue

1036 WordsJun 8, 20135 Pages
Introduction to Health Care Finance (HCA 240) Analyze Contemporary Health Care Issue According to the Federal Bureau of Investigation (FBI) “health care fraud costs the country an estimated $80 billion dollars a year” ("Health Care Fraud," n.d., p. 1). Because health care costs continue to rise more rapidly than the rate of inflation the threat of health care fraud continues to rise. The Affordable Health Care Act has put new policies in place to identify and stop health care fraud. The FBI along with other government, insurance, and public agencies have joined together to combat fraud at every level. New rules in identifying, investigating, and prosecuting fraud before payments are made to medical providers could save billions of…show more content…
Because rules and regulations will continue to change and expand, health providers would do well to implement these changes as soon as they are established. The United states government has joined forces to help providers in understanding and establishing information services to help fight fraud. While providers are fighting fraud within the health care industry, the government has its own formula to protect against fraud. One such tool was established in May 2009 is called the “Health Care Fraud Prevention and Enforcement Action Team” ("HEAT Task Force," n.d., p. 1). Established by the “Department of Health and Human Service (HHS) and Department of Justice (DOJ)” ("HEAT Task Force," n.d., p. 1), this task force is a group of several government agencies, which investigate and prosecute those who defraud public and private health care agencies. In just four years HEAT showed a seventy five percent increase in prosecutions for health care fraud and in 2011 alone one prosecuted case involved over five hundred million dollars worth of fraudulent invoices presented to Medicare. HEAT has established their presence in most major cities across the country and will continue this expansion as the need for health care expands. As anyone can see, health care fraud is a huge issue in the United States and with the upcoming nationalized health care system finally going into effect this year, more opportunities

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