Health Insurance

Legal and Resource Constraints Complicate Efforts to Curb Fraud and Abuse Gao ID: T-HRD-93-3 February 4, 1993

GAO testified on health care fraud and abuse and the need for better remedies and more resources to combat the problem. Health insurance experts estimate that fraud and abuse contribute to about 10 percent of the more than $800 billion now spent on health care. GAO's past work has shown that (1) all health care payers are vulnerable to fraud and abuse, (2) significant obstacles hinder the prevention of dishonest billing practices and the pursuit of health care profiteers, and (3) the resources devoted to detection and prosecution are inadequate. This testimony discusses these issues in detail.

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