Beyond the Card: Fighting Health Care Fraud {Podcast}

Beyond the Card: Fighting Health Care Fraud {Podcast}

On this episode of MI Blues Perspectives Podcast, host Sven Gustafson speaks with BCBSM’s Corporate and Financial Investigations Department to discuss the company’s efforts to detect health care fraud and bring people who commit these crimes to justice.

Guests include Greg Anderson and Dan Crowell of the financial investigations team, and Chief Wayne Pratt of the United States Attorney’s Office Eastern District of Michigan.

“Blue Cross, in this case as in many other cases investigated by federal law enforcement, they’re one of the first calls we make.” – Chief Wayne Pratt, U.S. Attorney’s Office, Eastern District of Michigan

Highlights of the show include:

  • How BCBSM investigators were contacted to assist with the case of Dr. Farid Fata, a Detroit-area cancer specialist sentenced to 45-years in federal prison for his role in a health care fraud scheme.
  • A closer look at Blue Cross’ fraud investigations unit, the first of its kind in the nation, and the former law enforcement officials who are part of the team.
  • New trends in health care fraud, as well as tools Blue Cross investigators use to identify fraudulent activity.
  • What listeners need to know about health care fraud, including how to recognize it and how to report it.

This post is part of a storytelling series we call, “Beyond the Card.” These stories will feature Blue Cross Blue Shield of Michigan members, employees, and communities who are making meaningful differences throughout our state.

We invite you to follow Beyond the Card stories here at MIBluesPerspectives.com and through the hashtag, #BeyondtheCard on our social channels. If you have a story you would like to share, please feel free to contact us at stories@bcbsm.com.

Photo credit: Tim Evanson

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