Medicare Beneficiaries' Exposure To Fraud And Abuse Perpetrators

Health Aff (Millwood). 2019 May;38(5):788-793. doi: 10.1377/hlthaff.2018.05149.

Abstract

In the period 2012-15, 1,364 fraud and abuse perpetrators (FAPs) treated over 1.2 million Medicare beneficiaries and received more than $630 million in Medicare payments. Compared to beneficiaries treated by non-FAPs, beneficiaries exposed to FAPs were more likely to be nonwhite, dually enrolled in Medicaid, and disabled and younger than age sixty-five.

Keywords: fraud, Medicare, vulnerable populations.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Delivery of Health Care*
  • Eligibility Determination / statistics & numerical data
  • Fee-for-Service Plans / statistics & numerical data
  • Fraud*
  • Humans
  • Medicare*
  • Middle Aged
  • Patient Harm* / statistics & numerical data
  • Persons with Disabilities
  • United States