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. […]

The Day: Reform, Republican doctors, free medical school

The Day: Reform, Republican doctors, free medical school

  Dave Chase, a former Microsoft executive, wrote two treatises on huffingtonpost.com about health care were choice. Here’s one: Dave Chase: Do it Yourself Health Care Reform. and here’s the other: Dave Chase: Health Insurance’s Bunker Buster. P.S. He’s really smart, and he’s also working on a startup about health care called Avado. It’s sort of like a mint.com […]

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 […]

Finding the money

Filed Under: Providers, Regulators

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 […]

Transparency and consequences: The roundup

Filed Under: Uncategorized

The business of the U.S. Government is mostly insurance and the military, writes Ezra Klein in the Washington Post, with a truly alarming chart. More. Dozens of recent medical studies show that Medicaid patients suffer for having it. In some cases, they’d do just as well without health insurance. Scott Gottlieb, The Wall Street Journal. […]