In fiscal year 2011, California recovered $388.26 million through Medicaid fraud and patient abuse investigations, as well as civil and criminal cases, according to a report from HHS Office of the Inspector General, FierceHealthcare reports.
The amount is the most recovered by any state that year.
In total, states recovered $1.7 billion through Medicaid fraud and patient abuse cases in FY 2011.
Federal and state governments in FY 2011 spent $208.6 million on Medicaid Fraud Control Units, which investigate and prosecute fraud, patient abuse and neglect at health care organizations.
MFCUs in FY 2011 conducted 10,685 Medicaid fraud investigations -- which yielded 824 convictions -- and 4,134 investigations into suspected patient abuse and neglect, which yielded 406 convictions (Cheung, FierceHealthcare, 4/3).
Overall, federal and state governments recouped $8.39 for every dollar spent on the MFCUs, the report found (HHS OIG report summary, 4/3).
Top States for Recovering Medicaid Fraud
The states that recovered the most Medicaid fraud in FY 2011 were:
- California ($388.26 million);
- Texas ($190.87 million);
- New York ($136.44 million);
- Ohio ($82.48 million); and
- Kentucky ($81.44 million) (FierceHealthcare, 4/3).