The Daily Outrage: Health care fraud 

Whistle-blowers helped recover $9.3 billion

WHAT: Unscrupulous medical providers and pharmaceutical companies have been gaming federal and state government health programs for potentially hundreds of billions of dollars, according to researchers in the Annals of Internal Medicine. More than $9.3 billion has been recovered, mostly by whistle-blowers who receive bounties.

WHY IT’S HAPPENING: Practitioners, facilities and drug manufacturers are required to offer Medicaid programs at the “best price” in the private marketplace. But the billing is complex and can be falsely inflated.

WHY IT’S A BAD IDEA: Stealing from public programs is stealing from all of us, and it inflates everybody’s cost of living.

WHERE TO VENT: If you have reason to suspect health care pricing malfeasance, you can file a sealed complaint in federal court. If the Department of Justice pursues your charges, you get up to 25 percent of the amount recovered.

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Staff Report

Staff Report

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A daily newspaper covering San Francisco, San Mateo County and serving Alameda, Marin and Santa Clara counties.
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