The latest edition of the Health Care Fraud and Abuse Control Program (HCFAC) Annual Report detailed how much of the funds were returned to the Medicare Trust Funds and how much went to federal agencies. In addition, the report shared enforcement actions from the Department of Justice (DOJ) during 2021.
In total, the federal government won or negotiated more than $5 billion in healthcare fraud settlements and judgments.
Almost $1.9 billion was returned to the federal government or paid to private persons in FY 2021, the report found. The Department of the Treasury received $656 million from gifts and bequests, civil monetary penalties, asset forfeiture, compensation equal to criminal fines, and penalties and multiple damages.
CMS received over $68 million in Medicare disallowances recovered from HHS/OIG audits and $482 million in restitution and compensatory damages for a total of $551 million.
Overall, $1.2 billion of the funds were transferred to the Medicare Trust Funds, according to the OIG report.
Apart from the Medicare Trust Funds, federal agencies received almost $458 million. Nearly $395 million went to CMS for the federal share of Medicaid and recovered Medicaid disallowances. Meanwhile, federal agencies such as TRICARE, HHS/OIG, Office of Personnel Management, US Postal Service, and DOJ/Drug Enforcement Administration received a total of $63 million.
Private persons received $193 million in payments, stemming from relators who filed suits on...
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