New Public-Private Partnership Seeks to Combat Fraud


On July 26, 2012, in further efforts to combat healthcare fraud, HHS Secretary Kathleen Sebelius and Attorney General Eric Holder announced a new partnership among the federal government, state officials, private healthcare organizations, and anti-fraud units.  The collaborative effort will unite various entities to share information and best practices to detect fraudulent healthcare billing practices that affect both public and private payers, with members of the partnership planning to share information on geographical “fraud hotspots,” commonly used billing codes, and fraudulent schemes. A number of entities have already joined the partnership, including, among others, Blue Cross and Blue Shield Association, Humana Inc., UnitedHealth Group, U.S. Department of Health and Human Services, U.S. Department of Justice, and WellPoint, Inc.  One of the keys to the new partnership is that it will seek to analyze trends in healthcare fraud to combat fraud before it occurs rather than after money has been paid.  With the partnership uniting public and private insurers against healthcare fraud, Secretary Sebelius acknowledged that the joint efforts will help combat fraud fueled by a “fragmented” healthcare industry.  A budget must still be set for this partnership, and planning efforts, which have already begun, are expected to last into the fall.  The CMS news release is available by clicking here

Reporter, Christina A. Gonzalez, Houston, +1 713 276 7340,

Written by:

Published In:

DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

© King & Spalding | Attorney Advertising

Don't miss a thing! Build a custom news brief:

Read fresh new writing on compliance, cybersecurity, Dodd-Frank, whistleblowers, social media, hiring & firing, patent reform, the NLRB, Obamacare, the SEC…

…or whatever matters the most to you. Follow authors, firms, and topics on JD Supra.

Create your news brief now - it's free and easy »

All the intelligence you need, in one easy email:

Great! Your first step to building an email digest of JD Supra authors and topics. Log in with LinkedIn so we can start sending your digest...

Sign up for your custom alerts now, using LinkedIn ›

* With LinkedIn, you don't need to create a separate login to manage your free JD Supra account, and we can make suggestions based on your needs and interests. We will not post anything on LinkedIn in your name.