Medicare Fraud

The Academy has taken a leading role in the effort to combat fraud, waste and abuse in the Medicare system. AMCP has proposed legislation, the “Medicare Prescription Drug Anti-Fraud Act of 2011.” And AMCP has engaged in a collaboration with the CMS Outreach and Education MEDIC (Medicare Integrity Contractor) to combat fraud, waste and abuse in Medicare Parts C and D. In 2012, CMS O&E MEDIC launched a website to raise awareness and provide free resources.

RESOURCES

AMCP's Anti-fraud Bill: Medicare Prescription Drug Anti-Fraud Act of 2011

This Bill is drafted to amend title XVIII of the Social Security Act to permit prescription drug plan sponsors to withhold payments to pharmacies based on credible allegations of fraud, and for other purposes.

AMCP's Collaborative Effort to Combat Fraud

AMCP's Collaborative Effort to Combat Fraud

Senate Finance White Paper Report on Medicare & Medicaid Fraud

January 2013: An Overview of White Papers Submitted At The Request Of The United States Senate Finance Committee on Medicare and Medicaid Fraud.

Summary of AMCP's Anti-fraud Bill: Medicare Prescription Drug Anti-Fraud Act of 2011

This document is a summary of AMCP's anti-fraud Bill drafted December 20, 2011.

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