VHA Office of Community Care
About Fraud, Waste and Abuse
Definitions of Fraud, Waste and Abuse as Related to Health Care
- Fraud is the intentional misrepresentation of information to gain undeserved payment for a claim.
- Waste involves spending federal health care dollars on services that are unnecessary.
- Abuse involves a questionable practice, which is inconsistent with accepted medical or business policies.
Impact of Fraud, Waste and Abuse
The National Health Care Anti-Fraud Association estimates conservatively that health care fraud costs the nation about $68 billion annually - about 3 percent of the nation's $2.26 trillion in heath care spending. The FBI estimates losses could be as high as 10% per year or $300 billion.
- 1/17/2017- Former Physician Pleads Gulity to Health Care Fraud Scheme
- 3/17/2017- Ball man sentenced to 21 months in prison for stealing more than $100,00 in Veterans Affairs benefits
- 5/23/2017- Houston-Area Psychiatrist Convicted of Health Care Fraud for Role in $158 Million Medicare Fraud Scheme
- 7/27/2017- Former Army Staff Sergeant Sentenced In Illegal Kickbacks Scheme
- 9/08/2017- Galena Biopharma Inc. to Pay More Than $7.55 Million to Resolve Alleged False Claims Related to Opioid Drug
- 11/06/2017 - Owner of Florida Pharmacy Pleads Guilty in $100 Million Compounding Pharmacy Fraud Scheme; Real Properties, Cars and a 50-Foot Boat Will be Forfeited