Protecting Taxpayer Dollars From Healthcare Fraud

New white paper from CLEAR on trends and new technologies

Caption|REUTERS/Yuriko NakaoOrganized crime groups in the United States, already skilled in running complex fraud schemes, are increasingly turning to healthcare fraud as a way to illegally make huge profits, according to a new white paper released by our Fraud Prevention and Investigations business.

The paper offers an overview of the growing problem of healthcare fraud in the United States, the cost of which is estimated by Thomson Reuters to be $150 billion annually, and the disturbing trend of organized crime groups and gangs in perpetuating complex schemes to defraud Medicare and Medicaid.

The free, in-depth white paper, titled "From Drugs to Wheelchairs: New Technology Fights the Growing Menace of Organized Crime in Healthcare Fraud," offers details about the fight against fraud being mounted by government agencies and federal, state and local law enforcement. It details their use of sophisticated technology such as data mining and predictive analysis using search tools like CLEAR for Healthcare Fraud Investigations to stop organized crime groups.

"Organized crime groups and gangs are turning from drugs to healthcare fraud, and taking with them billions of taxpayer dollars from the healthcare system. They’re lured by the vast amount of money flowing through Medicare and Medicaid, and the relatively low risk of violence," said Steve Rubley, managing director, Government, Thomson Reuters. "This white paper sheds light on the fight our government is waging against this, and the state-of-the-art technologies that are assisting them."

To combat this troubling trend, and to keep billions of taxpayer dollars out of the hands of criminals, local, state and national law enforcement are stepping up their efforts and deploying state-of-the-art-technologies that are designed to uncover the necessary information that will thwart fraudsters. At the forefront of that new technology is CLEAR for Healthcare Fraud Investigations, a product designed for professionals who need intelligent information about people and companies that may be involved with healthcare fraud, waste and abuse.

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