Health care companies that discover possible fraud in their own operations will soon have a single place at the Justice Department to report it, and federal prosecutors say they are using artificial intelligence (AI) and data analytics to find companies that do not come forward. Jacob Foster, a deputy assistant attorney general in the department’s National Fraud Enforcement Division who oversees its health care fraud work, described the changes at the STAT Summit in Boston, STAT reported on Oct. 15.
Foster did not share figures on how many cases the tools have produced, how much money they have recovered, or how many companies have self-reported. The announcement describes a process and a strategy, not results.
The changes still matter to patients. Health care fraud can mean tests and treatments people did not need, records that misstate their medical history, and higher costs for…
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