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OpEdNews Op Eds    H3'ed 6/15/11

Disturbing Financial Fraud in Healthcare

By Donald R. Soeken,  Posted by James Murtagh (about the submitter)       (Page 1 of 3 pages)   3 comments

But Why Haven't They Been Reported?

Disturbing New Statistics Show Huge Percentage Of Financial Fraud Against U.S. Government Comes From Healthcare Industry

By Donald R. Soeken, LCSW-C, Ph.D.

Ever wondered who the biggest culprits are, when it comes to defrauding the taxpayers of the United States?

The answer to that question may surprise you.

According to some shocking new statistics from the nonprofit Taxpayers Against Fraud (TAF) public interest group, the ranks of the admitted federal cheaters are occupied almost entirely by health insurers and the healthcare pharmaceutical industry.

That's the clear and thoroughly disturbing conclusion to be found in a revealing TAF study of the "Top 20" fraud lawsuits (ranked by dollar amounts) to have been decided by court judgments or agreed-upon settlements in recent years. Amazingly, the list of penalty awards - as adjudicated under legal procedures mandated by the U.S. False Claims Act - contains no fewer than 19 healthcare or health insurance entities . . . and only a single financial entity who isn't engaged in the business of health insurance or medical care.

Astonishing? You bet it is. Even a quick look at the list of recent fraud convictions and fraud case settlements involving the U.S. healthcare industry (to review them for yourself: ) should be enough to make any alert taxpayer ask: Why haven't all of these obvious fiscal abuses by healthinsurers and the pharmaceutical industry been reported in the news media . . . even as the entire nation continues to debate the future of healthcare reform?

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James J. Murtagh, Jr. is a doctor of pulmonary, critical care and sleep medicine, and the Medical Director of several sleep laboratories in Southern Ohio. Dr. Murtagh extensively writes on medical ethics. Dr. Murtagh is the founder of a new (more...)
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