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The total amount of Medicare fraud is difficult to measure accurately, because we know that not all fraud is detected and not all of the claims that look suspicious are reported or investigated. According to the Office of Management and Budget, Medicare "improper payments" in Medicare came to $47.9 billion ($34.3 billion in Medicare fee-for-service and $13.6 billion in Medicare Advantage). The Congressional Budget Office estimates that total Medicare spending was $528 billion in 2010.
Medicare fraud of $47B is almost 10% of the total Medicare budget, and no one is all that concerned about it. We all remember ENRON, but we have even more fraud and waste from Medicare, and who knows how much more between Social Security and Medicare.
Now we have another government program, and more fraud and abuse.
You'd think the debt crisis would result in crack downs on government waste and fraud. But as jobless claims increase in this jobless recovery, abuses in unemployment insurance have hit record levels. States paid out a whopping $16.5 billion to ineligible individuals last year. During the 12 months from April 2010 to March 2011, overpayments jumped again to 11.6 percent--more than $1 for every $9 paid out, a 1.6 percent increase over the historical average last decade.
Its fraud, and no matter who is president, or governor or which political party control the congress, we have had a tremendous amount of fraud. We need to get serious and hold our government accountable, it's our damn monry, and they seem to all have a cavalier attitude when it comes to being responsible with it.
The total amount of Medicare fraud is difficult to measure accurately, because we know that not all fraud is detected and not all of the claims that look suspicious are reported or investigated. According to the Office of Management and Budget, Medicare "improper payments" in Medicare came to $47.9 billion ($34.3 billion in Medicare fee-for-service and $13.6 billion in Medicare Advantage). The Congressional Budget Office estimates that total Medicare spending was $528 billion in 2010.
Medicare fraud of $47B is almost 10% of the total Medicare budget, and no one is all that concerned about it. We all remember ENRON, but we have even more fraud and waste from Medicare, and who knows how much more between Social Security and Medicare.
Now we have another government program, and more fraud and abuse.
You'd think the debt crisis would result in crack downs on government waste and fraud. But as jobless claims increase in this jobless recovery, abuses in unemployment insurance have hit record levels. States paid out a whopping $16.5 billion to ineligible individuals last year. During the 12 months from April 2010 to March 2011, overpayments jumped again to 11.6 percent--more than $1 for every $9 paid out, a 1.6 percent increase over the historical average last decade.
60 Minutes did an expose on this and talked to some guys who were hidden and they indicated how easy it was to commit this fraud.
Government corruption and waste at its finest. But those evil CEO's are making too much money!!
We are looking at tens of billions in fraud here. 0bama could win support from me, if he created a few thousands jobs by adding $5 billion to the federal agency in charge of identifying and preventing this fraud. Then again, would they even recover enough fraud to make up for the money we spend, or would it turn into another political arm used to reward friends and punish enemies? <shrug>
This is the one area private insurance does better: reducing fraud. Medicare should require authorization for procedures/services like HMOs do instead of paying for everything and then deciding it was fraudulent.
It isn't always fraud. Medicare has a history of going back years and applying new rules to old episodes of care and then deciding it was fraudulent. Its a way to make money. Much of Obamacare's revenues were built on the premise of recovering so much money per year. If there isn't enough true fraud, don't worry, they'll make some activities seem fraudulent, just to make the money.
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