Medicaid Fraud Control Units across the nation reported 1,318 criminal convictions in fiscal 2014, similar to the previous year's total of 1,344 criminal convictions, according to the HHS Office of Inspector General's Medicaid Fraud Control Units Fiscal Year 2014 Annual Report.
Here are five findings from the report:
1. Three-quarters of the criminal convictions in fiscal 2014 were for fraud, consistent with recent years, and monetary recoveries in criminal cases reached nearly $300 million.
2. MFCU convictions in FY 2014 led to the exclusion of 1,337 providers from federal healthcare programs.
3. MFCUs reported 874 civil settlements and judgments in fiscal 2014.
4. Of the 874 civil settlements and judgments that MFCUs obtained, most involved pharmaceutical manufacturers, pharmacies, and suppliers of durable medical equipment.
5. Two-thirds of the $1.7 billion recovered in civil settlements and judgments in FY 2014 were "global" settlements, which involved multiple units and the U.S. Department of Justice.
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