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WellPoint Recovers and Saves $75 Million Through Anti-Fraud Programs and Investigations in 2008
Date:7/1/2009

84 cases referred to law enforcement; 21 criminal convictions secured

INDIANAPOLIS, July 1 /PRNewswire/ --WellPoint, Inc. (NYSE: WLP) announced today that its Fraud and Abuse department, working with its affiliated health plans, recovered and saved almost $75 million in 2008 as a result of its anti-fraud efforts. These efforts led to 84 case referrals to law enforcement and/or licensing agencies.

This announcement comes the day after the Blue Cross and Blue Shield Association announced that its health care plans' anti-fraud investigations resulted in savings and recoveries of nearly $350 million in 2008, an increase of 43 percent from 2007. There were 1,087 cases referred to law enforcement agencies and licensing authorities, and 252 convictions and 140 civil actions, settlements and judgments. WellPoint, an independent licensee of the Blue Cross and Blue Shield Association, serves members through its Blue-licensed subsidiaries and their affiliates in 14 states.

Health care fraud is a serious problem that steals at least $68 billion every year, accounting for at least 3 percent of the total amount spent on health care annually, according to the National Health Care Anti-Fraud Association. Health care fraud is dangerous as well as expensive as it can involve unnecessary and excessive surgeries, procedures and prescriptions. WellPoint's affiliated health plans are committed to leading the fight in their local markets and working cooperatively with local law enforcement and other organizations.

"These anti-fraud results exemplify one way we can work toward the goal of decreasing health care costs through careful review of health care charges," said Lee Arian, WellPoint staff vice president for Fraud and Abuse. "These efforts have proven successful in uncovering and eliminating significant fraud
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SOURCE WellPoint, Inc.
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