Home Health Care Fraud and Controller Responses

• In Event: White-Collar Crime at 75: Research, Theory and Policy II

Abstract

Home health care fraud is a financially costly and potentially physically damaging form of white-collar crime that is likely to grow as the United States population ages and as the structure of the health care industry is reformed. This paper analyzes recent developments in the control and occurrence of home health care fraud. The magnitude of home health care fraud in both the number of prosecutions and the amount of financial loss is compared to previous years. Hot spots where this type fraud is being perpetrated are identified. Changes in the techniques of commission of home health care fraud and in the strategies and tactics used by controllers are discussed.

Authors

• Michael T. Czarnecki, University of Cincinnati

• Michael L. Benson, University of Cincinnati