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Essay / Health Care Fraud - 2084
Health Care Fraud: The generally overlooked crime of health care fraud has resulted in significant monetary loss from the American public paying into government-run medical programs, as well as private insurance company programs. Historically, we've seen that whenever it comes to money, people have found ways, or at least attempted to obtain it illegally. Some do it through overt acts of violence, such as theft. Others choose more covert means to obtain money illegally. This is usually done through fraudulent activities. This is the nature of white collar crime. There is no force or violence involved, but it is still illegal. (SSA) Obviously, when such a large amount of money is involved, there is a risk of fraud and theft. White-collar criminals are constantly developing schemes to illegally obtain money to which they are not entitled. In fact, the Federal Bureau of Investigation estimates that in 2011, three to ten percent of all healthcare spending was fraudulent. (FBI) Surprisingly for the category of white collar crime, in 1993, Attorney General Janet Reno declared that health care fraud was the second largest type of crime in America, respectively after violent crimes. (Sparrow) Therefore, although there are many types of fraud, healthcare fraud is easier, safer and less risky than any other type. (Sparrow) With each of these factors considered, health care fraud poses real, enormous problems for the United States government, its citizens, and the private health care sector. field. Although there are many aspects of this type of crime, health care fraud is one of the most notorious types of this type of crime...... middle of paper ..... .H. and Tillman, R. (2010) Profit without honor; White Collar Crime and the Looting of America (5th edition). Prentice Hall: New York Pogrebin MR (editor). (2012) About Criminals: An Offender Worldview. Thousand Oaks, CA: Sage.Sade, RM (2012) INTRODUCTION: The Health Care Reform Act (PPACA): Ethics and Policy Controversies. Journal of Law, Medicine and Ethics, 40(3) 523-525. Skeen, J. W. (2003) Health care fraud and industry structure in the United States. Social Policy and Administration, 37(5), 516-526. Smothers, R. (June 16, 2006). Health Care Group will reimburse Medicare $265 million. New York Times. Retrieved from http://www.nytimes.com/2006/06/16/nyregion/16medicare.html?_r=1&Sparrow, MK (2008) Fraud in the US healthcare system: exposing the vulnerabilities of automated payment systems. Social search, 75(4), 1151-1180.