title: Introducing forensic health services research.
abstract: Financial fraud and abuse are rampant within our healthcare system. Recent estimates suggest that $68 to $234 billion is lost to fraud annually. Despite numerous efforts, current strategies have met with limited success in preventing and remediating this practice. Why have we not been better able to tackle this problem? Current strategies aimed at preventing healthcare fraud and abuse fail to appreciate the spectrum that lies between clinically appropriate care and fraudulent practice. This oversight is critical, as what may be fitting treatment in one setting may just as easily be fraudulent in another. Therefore, in order to untangle the web of fraud and abuse, novel techniques and engagement of physicians who best understand these nuances are necessary. In this commentary, we introduce "forensic health services research," an extension of this scientific discipline that can best identify wasteful and fraudulent expenditure. The use of health services research in this fashion is not only synergistic with ongoing efforts, but greatly enhances current approaches. Despite the promise of this endeavor, important policy changes are needed to nurture this novel niche. We review these challenges and outline a path to move forward using this platform.
authors: Division of General Medicine, University of Michigan Health System, N Campus Research Complex, Bldg 16, 2800 Plymouth Rd, Ann Arbor, MI 48109, USA. Lmcmahon@umich.edu
authors: Laurence F
authors: LF
authors: McMahon
authors: Vineet
authors: V
authors: Chopra
mesh_terms: D005607:Fraud / Q000191:economics* / Q000517:prevention & control*; D006302:Health Services Research; D014481:United States