Anthem

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The 2008 efforts, through the company’s frau and abuse department working with its affiliateshealth plans, led to 84 case referralas to law enforcement and/or licensing agencies, according to a WellPoinrt (NYSE: WLP) press release. The announcemenyt comes not long after the Blue Crosds and Blue Shield Association said that its healthcare plans’ anti-fraud investigations resulted in savings and recoveriese of nearly $350 million in 2008, an increasew of 43 percent from 2007. Ther were 1,087 cases referred to law enforcement agencied andlicensing authorities, and 252 convictions and 140 civil actions, settlements and judgments.
“These anti-fraud results exemplify one way we can work toward the goal of decreasintg health care costs through careful review of healt hcare charges,” Lee Arian, WellPoint staff vice president for fraued and abuse, said in the release. “These efforte have proven successful in uncovering and eliminating significant fraudulenrt and abusive activity in our healthcare community.” WellPoint estimatesw that for every $1 spent in preventinb and investigating fraudulent activities the companuy recovers or saves $11 on behal f of its affiliated health customers and members. Fraud and abuse investigations by WellPoinrt in 2008 led to 11 arrests and 21criminao convictions.
Indianapolis-based WellPoint, an independent licensede of the Blue Cross and Blue Shield serves members throughits Blue-licensed subsidiaries and thei affiliates in 14 states. Anthem has local operationd in Mason and is movingbits Dayton-area headquarters to Miamisburg.