Coalition Against Insurance Fraud

Go figure: fraud data

 

Whistleblower Lawsuits

The federal False Claims Act allows whistleblowers to obtain a portion of any federal civil recoveries stemming from the whistleblower’s efforts to expose fraud against programs. Whistleblowers account for a major portion of healthcare convictions because they tend to be insiders at the offending healthcare organizations, and thus have unique access to information needed to charge and convict.

  1. $1.55 billion in civil settlements and judgments from 218 cases in 2007 in which the Department of Health and Human Service was the primary client agency.  (U.S. Department of Justice)
  1. $13.2 billion in total civil settlements from 3,665 cases from 1987 through 2007. (ibid)
  1. Whistleblowers received an average of 16.84 percent of recoveries when the federal government intervened. (Taxpayers Against Insurance Fraud, 2008)
  1. The federal government recovers $15 for every $1 invested in False Claims Act health-care investigations and prosecutions. (Taxpayers Against Fraud, 2008)
 
 
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