How Does Healthcare Fraud Impact Us?

An Interactive Experience

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The U.S loses more than $340 billion dollars a year to healthcare fraud!

That’s almost a billion dollars a day,

Or more than $10,781 a second!

Of that, the recovery rate is under 2%.

where is all that money going ?

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It's disappearing into fraudsters' pockets through

Medical identity theft

Criminals target the medical identity of patients covered under healthcare plans to ...

  • gain access to medical services,
  • Medicare/Medicaid benefits,
  • and prescription drugs, or

bill and receive payments for services that are never delivered (phantom billing)

Healthcare records are now cybercriminals' #1 target!

Last year, more than 100 million medical identities were stolen.
That's one-third of the population, or 1 out of every 3 Americans.

Criminals are targeting information because it's far more lucrative than stealing credit card information, and contains more valuable data.

patient Impact:

  • use of their stolen medical ID can run up significant medical bills
  • mix-ups & errors on stolen records can lead to misdiagnoses, harmful care, or death

Provider Impact:

  • decline in patient trust that their medical records are safe & secure
  • patient harm arises from treatment based on wrong information
  • risk of having claims not reimbursed by payers

Payer Impact:

  • time & expense to straighten out incorrect or compromised records
  • legitimate claims risk being rejected
  • billions lost on fraudulent claims, which will never be recovered

Taxpayer Impact:

  • fraud, waste, and abuse robs the healthcare system of critical resources, so the cost of healthcare goes up for everyone
select the buttons above to see the impacts

Medical identity theft and fraud cause patient identification errors, which are a form of preventable medical errors.

Preventable medical errors cause about 440,000 yearly deaths.

What could all the money that's lost to healthcare fraud do instead of going into criminals' pockets?

It's enough to buy an iPad and an iPhone for every person in the U.S.

Or put $1,000 cash in everyone's pockets

It's enough to buy houses for all the homeless in the U.S.

Or enough to clean up the Great Pacific Garbage Patch

a 435,000 sq mile pile of plastic almost twice the size of Texas!

And still have enough left over to buy energy-saving solar panels for every home in California