Health Care Reform: How Proposals Address Fraud and Abuse (Testimony,
03/17/94, GAO/T-HEHS-94-124).

Weaknesses within the current health insurance system allow unscrupulous
health care providers to cheat insurance companies and programs out of
billions of dollars annually. Fraud and abuse flourish in a health care
system that collects little information on provider practices,
encourages high profits at the expense of cost-effective care, and has
ineffective laws and enforcement mechanisms to punish and recover money
from those abusing the system. This testimony makes several
recommendations aimed at overcoming these problems. Recent legislative
proposals to reform the health care system, including the
administration's proposal, address each of these elements to some
extent.

--------------------------- Indexing Terms -----------------------------

 REPORTNUM:  T-HEHS-94-124
     TITLE:  Health Care Reform: How Proposals Address Fraud and Abuse
      DATE:  03/17/94
   SUBJECT:  Health maintenance organizations
             Administrative remedies
             Health care costs
             Monitoring
             Medical information systems
             Law enforcement
             Proposed legislation
             Health services administration
             Insurance companies
             Fraud
IDENTIFIER:  Medicare Program
             Medicaid Program
             National Health Care Reform Initiative
             Clinton Health Care Plan
             Health Security Act
             
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