The following information has been collected and reviewed over a four-month period surrounding the efforts to better control insurance fraud, particularly involving federally funded programs such as Medicaid, Medicare and TRICARE. The information allows for a better understanding of how healthcare programs came to be, teaches the history and effects of the Affordable Care Act and reflects on Medicaid eligibility and reimbursement factors.

In this document, several cases of medical insurance fraud will be examined. Forms of prosecutions as well as the analyzing of white-collar crime will be discussed. The education of fraudulent activity across health care is to be stressed by the information presented in this document. The conclusion consists of two models of suggested solutions in hopes that the government will continue all efforts to minimize Medicaid fraud, abuse and waste in America.

Year Manuscript Completed

Spring 2018

Senior Project Advisor

Michael Barton

Degree Awarded

Bachelor of Integrated Studies Degree

Field of Study

Health Care Administration

Document Type