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r3020
Senior Advisor

Health care dollars lost to waste and fraud

This is only the begining. If the IRS can be used as a political weapon so can government care.

 

snip-

Medicaid wrongly paid out more than $14 billion last year to managed care organizations, often for treatments or services that were not necessary, never performed or weren't eligible for coverage.

That's according to a new report from the Government Accountability Office.

For comparison, $14 billion is the cost of the new airport planned for Beijing, China. It's also how much the U.S. government has spent training Iraq's military since 2003.

MCOs, which allow Medicaid beneficiaries to get their care though state-run programs are rapidly increasing in popularity through the expansion of Medicaid. The amount of annual improper payments could increase because of Obamacare, GAO found.

The "size and diversity" of the MCOs have put both state and federal governments at odds on how to oversee the payments, the report said.

Specifically, the wrong payments made were for treatments or services not covered, not necessary, or billed for but never provided, GAO found.

States that expand Medicaid programs under Obamacare will receive a 100 percent reimbursement from the federal government for MCOs for the next two years, the report said.

Given that state and federal governments have recovered "only a small portion" of the wrongly paid money, unless they ramp up their oversight of MCOs, even more Medicare dollars will be "vulnerable to improper payments," GAO said.

States were also under-reporting to the federal Centers for Medicare and Medicaid how much money they recovered when they realized they'd made these undeserved payments, GAO revealed.

In 2013 alone, Medicaid covered almost 72 million Americans. The program costs American taxpayers more than $430 billion annually.

 

http://washingtonexaminer.com/heres-where-14-billion-of-taxpayer-money-for-medicaid-went/article/255...

 

7 Replies
hardnox
Advisor

Re: Health care dollars lost to waste and fraud

That is presumably why a recent study named the British NHS as the best system in the world.

r3020
Senior Advisor

Re: Health care dollars lost to waste and fraud


@hardnox wrote:

That is presumably why a recent study named the British NHS as the best system in the world.


snip-

Yesterday the Mail revealed the terrible treatment meted out to great-grandmother Lily Dove, who has been told she can no longer visit her local GP.

The surgery said it is unable to cope with a surge in the local population, many of them workers from Eastern Europe, so was ‘de-registering’ 1,500 patients.

Mrs Dove – who has lived in the area since 1919 – will find it enormously difficult to travel to another doctor three miles away.



But, unbelievably, her GP in Watton, Norfolk, said that making an exception for the 95-year-old widow, and allowing her to remain on the books, would be ‘discriminatory’.

Officials say no figures are available on how many others have suffered the same fate nationwide, though we today reveal a number of other disturbing examples.



Read more: http://www.dailymail.co.uk/debate/article-2666546/DAILY-MAIL-COMMENT-The-real-reason-NHS-overwhelmed...

Samnospam
Advisor

Re: Health care dollars lost to waste and fraud

study by who?
hardnox
Advisor

Re: Health care dollars lost to waste and fraud

Samnospam
Advisor

Re: Health care dollars lost to waste and fraud

commonwealth fund
Canuck_2
Senior Contributor

Re: Health care dollars lost to waste and fraud

Here is a PDF of the report.

You can compare a number of different areas as weel as the overall ranking of 11 countries.

The USA was 11th, Canada was 10 overall but the US cost per person was nearly double Canada's and UK's was even lower than Canada's cost

 

http://www.commonwealthfund.org/~/media/files/publications/fund-report/2014/jun/1755_davis_mirror_mi...

 

Lots of things to look at and see how they all compared.

r3020
Senior Advisor

Re: Health care dollars lost to waste and fraud


@Canuck_2 wrote:

Here is a PDF of the report.

You can compare a number of different areas as weel as the overall ranking of 11 countries.

The USA was 11th, Canada was 10 overall but the US cost per person was nearly double Canada's and UK's was even lower than Canada's cost

 

http://www.commonwealthfund.org/~/media/files/publications/fund-report/2014/jun/1755_davis_mirror_mi...

 

Lots of things to look at and see how they all compared.


The VA's numbers look pretty good too, as long as you ignore the secret waiting lists and all of those who died waiting to get on those secret waiting list.