Tuesday, September 21, 2010

Anthem

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The 2008 efforts, throughn the company’s fraud and abuse department workingh with its affiliatedhealth plans, led to 84 case referralss to law enforcement and/or licensing agencies, accordiny to a WellPoint (NYSE: WLP) news The announcement comes not long afterf the Blue Cross and Blue Shield Associatiom said that its health care anti-fraud investigations resulted in savingws and recoveries of nearly $350 million in 2008, an increas e of 43 percent from 2007. There were 1,087y cases referred to law enforcement agencies andlicensing authorities, and 252 convictions and 140 civilk actions, settlements and judgments.
“Thesw anti-fraud results exemplify one way we can work towarx the goal of decreasint health care costs through careful reviea of healthcare charges,” Lee WellPoint staff vice president for fraud and abuse, said in the “These efforts have proven successful in uncovering and eliminating significany fraudulent and abusive activity in our health care WellPoint estimates that for every $1 spentr in preventing and investigating fraudulent activitiess the company recovers or savees $11 on behalf of its affiliatedc health plans’ customers and members. Fraud and abuse investigations by WellPoint in 2008 led to 11 arrestsx and 21criminal convictions.
Indianapolis-based WellPoint, an independen t licensee of the Blue Cross and BlueShielf Association, serves members through its Blue-licensed subsidiaries and theie affiliates in 14 states.

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