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  2. House bill would allow Pa. AG to turn down hospital mergers - AOL

    www.aol.com/house-bill-allow-pa-ag-035900876.html

    The proposed legislation would codify and expand the Attorney General's existing powers under laws governing nonprofit organizations and consumer protection into the Health Care Facilities Act.

  3. Insurance fraud - Wikipedia

    en.wikipedia.org/wiki/Insurance_fraud

    The National Health Care Anti-Fraud Association estimates that 3% of the health care industry's expenditures in the United States are due to fraudulent activities, amounting to a cost of about $51 billion. [9] Other estimates attribute as much as 10% of the total healthcare spending in the United States to fraud—about $115 billion annually. [10]

  4. False Claims Act of 1863 - Wikipedia

    en.wikipedia.org/wiki/False_Claims_Act_of_1863

    No. 21-1052, 599 U.S. ___ (2023) The False Claims Act of 1863 ( FCA) [ 1] is an American federal law that imposes liability on persons and companies (typically federal contractors) who defraud governmental programs. It is the federal government's primary litigation tool in combating fraud against the government. [ 2]

  5. Kids for cash scandal - Wikipedia

    en.wikipedia.org/wiki/Kids_for_cash_scandal

    A statement from the U.S. Attorney's Office for the Middle District of Pennsylvania outlined the charges against the two judges on January 26, 2009. The charges outlined in the information [23] described actions between 2000 and 2007 by both judges to assist in the construction and population of private juvenile facilities operated by the two Pennsylvania Child Care companies, acting in an ...

  6. Optum and SAS Align to Help Prevent Health Care Fraud ... - AOL

    www.aol.com/news/2012-12-10-optum-and-sas-align...

    Optum and SAS Align to Help Prevent Health Care Fraud, Waste and Abuse Enhanced anti-fraud, waste and abuse solution builds upon Optum solutions that saved $500 million for health plan clients in ...

  7. Medicare fraud - Wikipedia

    en.wikipedia.org/wiki/Medicare_fraud

    Jimmy Carter signs Medicare-Medicaid Anti-Fraud and Abuse Amendments into law. The Office of Inspector General for the U.S. Department of Health and Human Services, as mandated by Public Law 95-452 (as amended), is established to protect the integrity of Department of Health and Human Services (HHS) programs, to include Medicare and Medicaid programs, as well as the health and welfare of the ...

  8. Health care fraud - Wikipedia

    en.wikipedia.org/wiki/Health_care_fraud

    Under federal law, health care fraud in the United States is defined, and made illegal, primarily by the health care fraud statute in 18 U.S.C. § 1347 states [ 4] (a) Whoever knowingly executes, or attempts to execute, a scheme or artifice—. (1) to defraud a financial institution; or. (2) to obtain, by means of false or fraudulent pretenses ...

  9. Healthcare in the United States - Wikipedia

    en.wikipedia.org/wiki/Healthcare_in_the_United...

    Aggregate US hospital costs were $387.3 billion in 2011—a 63% increase since 1997 (inflation adjusted). Costs per stay increased 47% since 1997, averaging $10,000 in 2011 (equivalent to $13,544 in 2023 [ 31] ). [ 128] As of 2008, public spending accounts for between 45% and 56% of US healthcare spending. [ 129]

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