Public-Private Partnership to Prevent Health Care Fraud
A ground-breaking partnership unites public and private organizations in the fight against health care fraud. The voluntary, collaborative partnership includes the federal government, state officials, several leading private health insurance organizations, and other health care anti-fraud groups.
The partnership is designed to share information and best practices to:
- Improve fraud detection
- Prevent payment of fraudulent health care billings
- Find and stop scams that cut across public and private payers
Partnership goals and plans
The partnership will:
- Help those on the front lines of industry anti-fraud efforts share their insights with investigators, prosecutors, policymakers, and others
- Help law enforcement officials identify and prevent suspicious activities
- Protect patients’ confidential information
- Use the full range of tools and authorities provided by the Affordable Care Act and other laws to combat and prosecute illegal actions
Learn more about the partnership.
Partnership members
The following organizations are among the first to join this partnership:
- America’s Health Insurance Plans
- Amerigroup Corporation
- Blue Cross and Blue Shield Association
- Blue Cross and Blue Shield of Louisiana
- Centers for Medicare & Medicaid Services
- Coalition Against Insurance Fraud
- Federal Bureau of Investigations
- Health and Human Services Office of Inspector General
- Humana Inc.
- Independence Blue Cross
- National Association of Insurance Commissioners
- National Association of Medicaid Fraud Control Units
- National Health Care Anti-Fraud Association
- National Insurance Crime Bureau
- New York Office of Medicaid Inspector General
- Travelers
- Tufts Health Plan
- UnitedHealth Group
- U.S. Department of Health and Human Services
- U.S. Department of Justice
- WellPoint, Inc.