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health care fraud
Health care fraud includes health insurance fraud, drug fraud, and medical fraud. Health insurance fraud occurs when a company or an individual defrauds an insurer or government health care program, such as Medicare (United States) or equivalent State programs. The manner in which this is done varies, and persons engaging in fraud are always seeking new ways to circumvent the law. Damages from fraud can be recovered by use of the False Claims Act, most commonly under the ''qui tam'' provisions which rewards an individual for being a "whistleblower", or relator (law).〔(【引用サイトリンク】title=Department of Justice )〕
==Recent news and statistics==
The FBI estimates that ''Health Care Fraud'' costs American tax payers $80 billion a year.〔(【引用サイトリンク】title=FBI-Health Care Fraud )〕 Of this amount $2.5 billion was recovered through ''False Claims Act'' cases in FY 2010. Most of these cases were filed under ''qui tam'' provisions.
Over the course of FY 2010, ''whistleblowers'' were paid a total of $307,620,401.00 for their part in bringing the cases forward.〔(【引用サイトリンク】title=The Department of Health and Human Services and The Department of Justice; Health Care Fraud and Abuse Control Program Annual Report for Fiscal Year 2010 )〕
抄文引用元・出典: フリー百科事典『 ウィキペディア（Wikipedia）』
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