June 20, 2014 Medicare data show a pattern of problematic payments to doctors with a history of disciplinary action. Yet state medical boards don't usually look at billing as a trigger for investigations.
Pill bottles in a locked room deep inside the building that houses the Los Angeles County Health Authority Law Enforcement Task Force.
January 6, 2014 For the first time, Medicare would have the authority to kick out doctors and other providers of health who engage in abusive prescribing. It could also take such action if providers' licenses have been suspended or revoked by state regulators or if they were restricted from prescribing painkillers and other controlled substances.
Dr. Ernest Bagner III stands outside his former office tucked in the back corner of a strip mall in Hollywood, Calif., where he says he was the victim of Medicare fraud.
December 20, 2013 Credit card companies routinely flag or block suspicious charges as they happen. Yet under Medicare, a convoluted and poorly managed system for catching fraud allows costly scams for prescription drugs to slide by. The federal government has done little to stop the fraud, an investigation by ProPublica found.
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With help from the Affordable Care Act, government fraud investigators will make more use of computer programs to detect Medicare and Medicaid scams.
August 21, 2012 Criminals who defraud public health care programs to the tune of billions of dollars a year are now up against sophisticated computer systems designed to catch them. But the new efforts may yield far more leads than the current team of investigators and analysts can handle.
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Insurers and the federal government are teaming up to fight health fraud.
July 26, 2012 The idea behind the partnership is to share the best ideas of law enforcement, government and industry on things like identifying patterns of suspicious claims, data mining and even catching simultaneous claims for the same patient in different cities.
GlaxoSmithKline's mishandling of information on safety problems with diabetes drug Avandia is just one of the violations cited in a settlement with the government.
Joe Raedle/Getty Images
July 2, 2012 The British drugmaker has agreed to pay $3 billion and is pleading guilty to criminal charges related to its marketing of two antidepressants and failure to provide the Food and Drug Administration with data about safety problems with the diabetes pill Avandia.
February 28, 2012 A Texas doctor and six co-conspirators indicted for an alleged long-running health care scam look to have set a new record for a medical practice: $350 million in fraudulent Medicare bills and $24 million under Medicaid over nearly six years ending in late 2011.
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