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DOJ Statistics Evidence Increased Health Care Qui Tam Filings and Recoveries

Every year, the United States Department of Justice releases its annual tabulation of False Claims Act settlements and judgments, providing a cumulative look at recoveries dating back to the 1986 FCA Amendments. This past years report confirms the enormous power of the qui tam provisions of the False Claims Act in the battle against healthcare fraud:

  •  $38.9 billion recovered since 1986, of which $27.2 billion, or 70%, was recovered via qui tam actions.
  • $4.3 billion in relator share awards were paid to successful whistleblowers since 1986. This averages out to a 15.8% relator share. 
  • There have been 9,244 qui tam actions filed since 1986. This averages out to 330 filings per year. Over 33% of all qui tam actions have been filed in just the past five years. 
  • Of the 753 qui tam filings in FY2013, 500 (or 66.4%) alleged fraud on Government Health Care Programs. 
  • Of the $38.9 billion recovered under the False Claims Act since 1986, $26.7 billion, or 68.6%, involved fraud on Government Health Care Programs. 
  • Of the 26.7 billion health care dollars recovered under the modern False Claims Act, $12.34 billion (or 46.2%) was recovered in just the past five years. 
  • Heath care qui tam whistleblowers have received awards totaling $3.2 billion since the False Claims Act was modernized in 1986. Nearly half of these awards were paid out in just the past five years. 
  • There have been 5,279 health care qui tam actions filed since 1986. This averages out to 188 filings/year. In the past five years, an average of 399 health care qui tam actions have been filed each year. 38% of all health care qui tam actions have been filed in just the past five years.