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New campaign against health care fraud: government and insurance companies to mine claims data
WASHINGTON (AP) ¯¯¯ The Obama administration is launching an ambitious new drive against health care fraud by mining claims data from insurance companies and government programs in hopes of ferreting out bogus billing.
Details of the plan are being announced Thursday at the White House by Health and Human Services Secretary Kathleen Sebelius, Attorney General Eric Holder and top insurance executives.
White House officials say the plan involves comparing claims from Medicare, Medicaid and private health plans to look for patterns that could indicate fraud. Under an agreement reached with insurers, a separate venture is being set up to review data and turn over evidence of suspicious billing to insurers or federal investigators for follow-up.