The day: Fraud, lower premiums, the uninsured, rising costs

Filed Under: Costs, Patients, Providers

The day: Fraud, lower premiums, the uninsured, rising costs

Fraud in health-care billing is the topic of Professor Terry Leap’s new book, “Phantom Billing, Fake Prescriptions and the High Cost of Medicine: Health Care Fraud and What to Do About It.” A conversation over at thecrimereport.org. HHS to Reduce Premiums, Make it Easier for Americans with Pre-Existing Conditions to Get Health Insurance. New regulations. […]

Waste and fraud in Medicare

Filed Under: Costs, Providers, Regulators

Waste and fraud in Medicare

It’s an article of faith that one of the biggest sources of  health-care cost abuses is Medicare. The government pays bills for the elderly under this system, and it’s widely regarded as fraud-ridden and inefficient. So it was no particular surprise to read the other day that Medicare recovery audit contractors have returned $237.8 million […]

Health cost fraud: The Most Wanted

Filed Under: Costs, Health plans

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 […]

Costs, fraud-busting and consolidation

Filed Under: Costs, Providers, Regulators

From the news: An appendectomy in Texas can cost as little as $1,747.35 at Providence Memorial Hospital in El Paso, or as much as $7,335.94 at Lake Pointe Medical Center in Rowlett, according to an interactive tool posted by The Texas Tribune.  The Tribune used public data from Medicaid, the joint state-federal health care program […]