Posted inCosts

Health cost fraud: The Most Wanted

This is for real: a Web site from the Health and Human Services Department showing the most wanted fugitives committing Medicare and Medicaid fraud. For example: “Carlos, Luis, and Jose Benitez, commonly referred to as the Benitez brothers, allegedly schemed to submit false and fraudulent claims to Medicare, pocketing approximately $110 million from Medicare, according […]

Posted inCosts, Patients

Outsourcing help on health costs

Two health-care cost resources came across our radar today. announces  “Dealing with health insurance paperwork can be frustrating and time-consuming, so why not let us do it?  We’ll handle every aspect of your health insurance claims, so you get the maximum reimbursement you deserve quickly, easily and pain-free.” It costs $195 a year, or […]

Posted inUncategorized

Fraud, politics and health-care reform

Fraud and Bribery: “The California Public Employees’ Retirement System is negotiating a lucrative pharmacy benefits management contract with Caremark Rx Inc., a company being sued for defrauding the pension fund of tens of millions of dollars. …In March, the CalPERS board canceled negotiations with Medco Health Solutions Inc., which had been the front-runner for the […]

Posted inProviders

Finding the money

Groundbreaking reporting on the health-care payments system this year came from The Wall Street Journal.  The government is the largest payer of medical claims, and The Journal has made good use of what data it has to identify providers who have performed an outsize number of procedures, collected an outsize amount of money, and generally […]