August 21, 2012 KHNCriminals 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.
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.
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.