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Program Outcomes
Twice annually, the Office of Inspector General (OIG) in the Department of Health and Human Services gathers program outcome data from AoA’s Senior Medicare Patrol Projects. Listed below are cumulative summaries of these outcomes and activities, the data collected through the OIG’s semi-annual reports, and other Departmental activities related to combating and preventing health care error, fraud, and abuse. Working in partnership across the country, these activities are making a significant impact in reducing the Medicare error rate.
During fiscal year 2000, the Department of Justice and the OIG conducted 414 criminal prosecutions involving health care fraud, and recovered $1.2 billion in fines, judgments and settlements. Over the past four years, the federal government conducted 1,291 criminal prosecutions and recovered a total of $3.4 billion in fines, judgments and settlements. In addition, individuals and businesses who are convicted of Medicare fraud or patient abuse, may be ineligible to receive payments from Medicare, Medicaid and other federal health care programs. During fiscal year 2000, the OIG excluded a total of 3,350 individuals and businesses from doing business with Medicare or Medicaid.
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