Medicare pays full price for half-empty vials of medicine

Discussion in 'Current Events' started by Professor Peabody, Dec 13, 2013.

  1. Professor Peabody

    Professor Peabody Well-Known Member Past Donor

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    $24.2 million out of $60 to $90 billion in fraud each and every year paying for half empty vials of medication. To make matters worse some of the medications are in multiuse vials. Does that mean they resell partly used vials at full bottle price over and over till the single vial is empty? Some folks will claim how $24 million is a drop in the bucket. They are right compared to the $60 to $90 billion. But is serves to highlight just how rife with fraud Medicare really is to get to $60 billion and how impotent the Government is to do anything about it.

    Fraud in the public sector is over 4 time that in the private sector, yet our Government thinks it can administer health insurance better, that would include the fraud too. The ACA regulates private insurance companies to spend 80% - 85% of their collected premiums on insurees and limits administrative costs like the ones used to combat fraud 4 time more effectively than Medicare. We can all see where that's headed.

    Private insurance fraud equals approx $330 in fraud per insured.

    Medicare Government run insurance approx $1430 in fraud per insured.
     
  2. Curmudgeon

    Curmudgeon New Member

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    Yet the Republicans have blocked repeatedly the easy fix for this particular problem. They refuse to allow Medicare or Medicaid to negotiate with the drug companies for prices. The big insurers and the VA can both negotiate drug pricing and their costs for drugs are about a third of what Medicare has to pay, which is list price.
     
  3. Professor Peabody

    Professor Peabody Well-Known Member Past Donor

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    It's not the prices, it's the ripoff that's killing taxpayers.
     
  4. smallblue

    smallblue Well-Known Member

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    Seems like private healtcare providers sure do commit a lot of fraud doesn't it.
     
  5. Professor Peabody

    Professor Peabody Well-Known Member Past Donor

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    Seems like the Government just pays the private healtcare providers that commit a lot of fraud without checking doesn't it.
     
  6. smallblue

    smallblue Well-Known Member

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    Yep, the government pays it's bills. Meanwhile, the private HC providers whom you have stated over and over are the best in the world are committing fraud, as in billing their customers for medication they never administered.

    Meanwhile, it was the Medicare administrative watchdogs that have caught onto this fraudulent over charge and has already re-couped 17.8 million of these fraudulent claims from the private HC providers.

    I can't understand how you could possibly not demonize private healthcare providers based on your previous posts on systems in the UK.
    That is unless you were being biased that is.
     
  7. rahl

    rahl Banned

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    lol @ this thread.

    greedy private healthcare providers are committing fraud and you blame the government.
     
  8. Dutch

    Dutch Well-Known Member Past Donor

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    The (*)(*)(*)(*)ing Government of yours just paid untold billions of dollars to the private company run by Michelle's friend for the internet site that does not work. You blame private company for the rotten apple and a bill of goods they sold to your beloved Government? I blame the Government for not giving rat's ass for how taxpayers money spent.
     
  9. JohnnyMo

    JohnnyMo Moderator Staff Member Donor

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    Do you have a source that confirms the untold billions paid for the internet site??
     
  10. rahl

    rahl Banned

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    lol, greedy PRIVATE healthcare providers are committing fraud and you blame the government.

    do you also blame the little old lady who had her purse stolen?
     
  11. Professor Peabody

    Professor Peabody Well-Known Member Past Donor

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    So you just pay what ever bills show up in your mailbox?

    They catch less than 10% and recoup far less than that, is that supposed to be good?

    Private healthcare providers can ask for what ever they want, it's our Government deciding to pay out or not.
     
  12. smallblue

    smallblue Well-Known Member

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    That's what I thought, Private healthcare providers get a pass from your outrage to commit fraud cause you say they can. . .except for the fact that Medicare has recouped 17.8 of the 24.2 million overcharged already proving that: No they can not.
     
  13. Dutch

    Dutch Well-Known Member Past Donor

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    I meant, millions.
     
  14. Dutch

    Dutch Well-Known Member Past Donor

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    My friend, you Liberals are the reason we have moron for the president.
     
  15. Professor Peabody

    Professor Peabody Well-Known Member Past Donor

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    They are 4 times more effective at catching fraud the the Government insurance.

    The federal Government boasted about recovering $4.1 Billion of the $60 to $90 billion dollars in fraud.
     
  16. smallblue

    smallblue Well-Known Member

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    Transcript for audio podcast: Contractors Overpaid Millions to Providers for Herceptin


     
  17. smallblue

    smallblue Well-Known Member

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    I still don't hear any outrage from you from over the private instituations actually committing the fraud or incorrect over billings. What gives?

    Does that fact that it is the private sector HC doing the over billing or out right fraud which renders you impotent to speak out against them?
     
  18. Professor Peabody

    Professor Peabody Well-Known Member Past Donor

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  19. Professor Peabody

    Professor Peabody Well-Known Member Past Donor

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    Because the Government's the one handing out OUR money on fraudulent claims. The Government TAKES our money and is SUPPOSED to be good caretakers of it. As far as I'm concerned if any health care provider is caught scamming the Government (US!), put 'em in jail to the grave. It's comical the way your posts defend the folks that hand the money out in the first place.
     
  20. smallblue

    smallblue Well-Known Member

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    Actually what is comical is that you have probably created over 100 threads demonizing government run HC systems yet don't give a damn to criticize privately run HC even when they are stealing from you.

    For the case given in the OP, outside of having an actual representative present confirming every claim for a medication administered is factual and properly billed, what can they do to catch this? Run an audit probably. . .like they did and how they found out what was going on.
     
  21. Professor Peabody

    Professor Peabody Well-Known Member Past Donor

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    Priorities my friend. It's in my previous post.............Technology and software.

    Private insurance fraud equals approx $330 in fraud per insured.

    Medicare Government run insurance approx $1430 in fraud per insured.

    Which one is failing badly?
     
  22. rahl

    rahl Banned

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    just pointing out the stupidity and hypocrisy of the rightwing noise machine and its ignorant followers.
     
  23. rahl

    rahl Banned

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    we're not defending the government. we're pointing out the hilarious hypocrisy in blaming the government for PRIVATE healthcare providers committing fraud.
     
  24. squidward

    squidward Well-Known Member

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    Select private healthcare providers not, "private healthcare providers". And do you know whether these are physicians or hospitals, as hospitals are not providers.
    Providers work at hospitals.
     
  25. squidward

    squidward Well-Known Member

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    Select individuals/entities. This is not an incrimination of providers in general.
     

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