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2013 Record Year for Medicare Fraud Strike Force
January 28, 2014 Posted by

Courtesy of Mythili Raman, Acting Assistant Attorney General for the Justice Department’s Criminal Division

Every day, the nation’s health care system is victimized by criminals intent on lining their own pockets at the expense of the American taxpayer, patients and private insurers. And every day, members of the Justice Department’s Medicare Fraud Strike Force aggressively investigate and prosecute these criminals, put them in prison, and prevent them from stealing millions from U.S. taxpayers.

Since its inception in March 2007, strike force prosecutors – under the supervision of the Criminal Division and U.S. Attorney’s Offices in nine cities across the country and in coordination with the Department of Health and Human Services – have charged more than 1,700 defendants who have collectively billed the Medicare program more than $5.5 billion. In Fiscal Year 2013 alone, the strike force secured records in the number of cases filed (137), individuals charged (345), guilty pleas secured (234) and jury trial convictions (46). Beyond these remarkable results, the defendants who were charged and sentenced are facing significant time in prison – an average of 52 months in prison for those sentenced in FY 2013, and an average of 47 months in prison for those sentenced since 2007.

According to a recent report by the Inspector General for the U.S. Department of Health and Human Services, for every dollar the Departments of Justice and Health and Human Services have spent fighting health care fraud, we’ve returned an average of nearly eight dollars to the U.S. Treasury, the Medicare Trust Fund and others. And these actions have helped to deter other would-be criminals from even attempting to defraud the Medicare program.

We can all be proud of this remarkable progress, but this is just the beginning. We have made combating health care fraud part of our core mission at the Department of Justice, and we are determined to keep moving forward – to thwart ongoing fraud schemes, to hold accountable those who steal from the Medicare program and to prevent this conduct from happening in the future.

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