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.

Daily OutrageOpinionOther Opinion

If you find our journalism valuable and relevant, please consider joining our Examiner membership program.
Find out more at www.sfexaminer.com/join/

Just Posted

Tenderloin merchants, residents come together over street closures

Parts of Larkin, Golden Gate to close four days a week to promote outdoor business, dining

Enter ‘The Matrix’: Drive-in movies during a pandemic

Though it’s fun to take in a film and drink, I miss watching bartenders make cocktails

Twin Peaks closure leads to complaints from neighbors

Twin Peaks Boulevard will no longer be entirely closed to motor vehicles… Continue reading

David Kubrin on Marxism and magic in the Mission

Former academic, industrial designer pens book on alternative, or people’s, science

Fire danger high in North and East Bay as region enters another hot, dry weekend

Spare the Air Alert issued for Sunday as heat, smoke and fumes expected to increase

Most Read