WELCOME TO ETICO!

Welcome to Etico, LLC—a company whose expert team combines decades of health care anti-fraud and abuse experience in the private and public sectors with state of the art technology to help your organization reduce the cost of care by controlling fraud and abuse—and preventing losses—as effectively as possible.

You've seen the headlines: Fraud rings that rob Medicare, Medicaid and private health insurers of tens of millions of dollars through phony medical equipment and home health businesses. . . "medical identity thefts" that use stolen patient information as the basis for fictitious claims or for obtaining health care services in the victims' names . . . diagnostic-testing "facilities" that exist only on thousands of high-dollar phony claims aimed at hundreds of payers . . . individual practitioners whose bills add up to more hours of work than there are in a day . . . prescription schemes that put powerful narcotics and other drugs in the hands of abusers and street dealers . . . non-covered cosmetic treatments billed as covered medical procedures . . . even schemes where thousands of well-insured workers and seniors throughout the US were paid cash to undergo surgeries for medical problems they didn't have.

At a time when employers, government, individuals and honest health care professionals are struggling like never before with ever-increasing health care costs, insurance premiums and coverage gaps, fraud and abuse are taking a greater toll than ever before on the nation's private health plans and tax-funded health insurance programs.

Perpetrators range from the small number of dishonest health care providers and institutions to highly organized professional criminals who see health plans as easy targets for fraud. The cost is heavy—from at least $74 billion to as much as $250 billion every single year.  And the additional consequences are getting even worse: Stolen patient identities, which mean costly and potentially dangerous fabrications in members' medical histories . . . stolen insurance benefits that leave members without coverage . . . and the physical risks attached to unnecessary surgeries and many other fraud schemes.

Whether you are a health insurer or other medical-claim payer, claim administrator, employer, or public program, it has never been more important to help control costs by protecting your assets and your people against health care fraud and abuse. But, no one plan or program can do it alone—you need a strong, expert and experienced partner.

Etico is that partner. Whether by supplementing your organization's existing anti-fraud resources or by providing an entire fraud and abuse control solution, Etico's mission is to help you reduce costs, prevent losses, preserve benefits and protect members as effectively as possible.

Thank you for visiting Etico, LLC. We appreciate your interest, and we invite you to explore our full range of services and to contact us to learn more about how we can be your exceptional Partner in Health Care Fraud and Abuse Solutions!