XPost: talk.politics.misc, alt.politics.usa, alt.fan.rush-limbaugh
On 5/3/25 02:10, c186282 wrote:
On 5/2/25 11:39 PM, Siri Cruz wrote:
On 2/5/25 19:53, c186282 wrote:
Now finding way to reduce FRAUD in these
systems IS perfectly OK ... and that adds
up to a LOT of money you can brag about.
Not so far.
Well ... it's early on.
No, its not. They've been investigating Medicare fraud for
years/decades. As per Google:
"The Medicare fraud rate, as measured by improper payments, is estimated
at 7.66% for the traditional Medicare Fee-for-Service (FFS) program, representing $31.70 billion in federal payments in 2024. The Medicare
Advantage improper payment rate was 5.61%, or $19.07 billion, in the
same year. The Medicare Part D improper payment rate was 3.70%, or $3.58 billion. These rates represent the proportion of payments deemed
improper due to various reasons, including fraud, waste, and abuse, and
are not necessarily the true rate of Medicare fraud itself."
FYI, this last part's caveat is important to note: the metric of
'improper payment' does not in of itself constitute proof of
fraud/waste/abuse, but is a broader metric of which F/W/A is a subset.
Have patience.
The real issue is in meting out appropriate punishment. For example,
Rick Scott (R/FL) is known to have defrauded Medicare, Medicaid, and
other federal programs, with the DOJ winning 14 felony convictions
against the company and $1.7 billion in fines ...
... but he still didn't go to jail.
Sending crooked CEO's and C Level executives to jail is how to curtail
fraud.
-hh
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