H.2: Health Care Fraud
Reduce the incidence of large scale health care frauds, involving both government-sponsored and private insurer programs. Other Information:
Because the illegal profit potential for this crime problem is virtually unlimited, and because the health care industry is
among the most complex, the FBI must continue to build on its relationships with related government agencies and stakeholders
to effectively prevent abuse. Priority Actions: Expand the intelligence base to identify regional fraudulent billing patterns
within vulnerable segments of the health care industry such as pharmaceuticals, durable medical equipment, transportation
services, outpatient services, and home health services. Deter health care fraud by identifying and targeting national regional
chains of service providers engaged in systemic health care schemes. Incorporate aggressive asset forfeiture actions in every
criminal case to strip violators of their ill-gotten gains.
Indicator(s):
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