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 […]

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 […]