Morris L
Department of Health and Human Services.
J Insur Med. 1993 Winter;25(4):415-9.
As the national debate over health care reform moves forward, one issue with which policy makers must grapple is the percentage of health care dollars lost to fraud and abuse. The General Accounting Office estimates that as much as ten percent of total health care dollars are lost to the inappropriate, and in some cases criminal, practices of health care providers. This article discusses the characteristics of the health care industry that make it particularly susceptible to abuse and then reviews the efforts by the Office of Inspector General, Department of Health and Human Services, to deter and punish those who defraud the federal health care programs.
随着全国关于医疗保健改革的辩论不断推进，政策制定者必须应对的一个问题是医疗保健资金因欺诈和滥用而损失的比例。美国政府问责局估计，医疗保健总资金中高达10%因医疗保健提供者的不当行为（在某些情况下是犯罪行为）而损失。本文讨论了医疗保健行业特别容易遭受滥用的特征，然后回顾了卫生与公众服务部监察长办公室为威慑和惩罚那些欺诈联邦医疗保健计划的人所做的努力。
