Inside Opinion

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Tag: Medicare fraud

May
2nd

How to pay off those med school loans – fast

Check this out. Jaundiced as I may be, I have a hard time envisioning the doctors, nurses and social workers I have known looting a medical program for the elderly to the tune of $452 million.

The money be made scamming Medicare defies my financial imagination. In February, the Justice Department charged one doctor – just one – with masterminding a scheme that bilked the program for $350 million over the last five years.

Since it was launched in the mid-1960s, Medicare has operated under a philosophy of pay-first, ask-questions-later. The system assumes that the claims it gets

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Feb.
28th

A welcome offensive against Medicare fraud

This editorial will appear in tomorrow’s print edition.

Forget drug trafficking. For criminal enterprises, the real money is in Medicare.

A case in Texas demonstrates how much loot can be gotten by illegally tapping the immense federal health insurance for seniors. U.S. prosecutors on Tuesday charged a doctor, Jacques Roy, with masterminding a conspiracy that fraudulently billed $350 million to Medicare over the last five years, plus another $24 million to Medicaid.

One doctor. A third of a billion dollars.

He did have help, according to the U.S. Justice Department. Investigators say that Roy’s business, Medistat Group Associates, worked with home health care agencies to recruit thousands of Medicare-eligible patients. The patients would be given unnecessary medical services and home visits at Medicare’s expense, say the investigators.
The owner of one home care agency reportedly paid recruiters $50 a head for “patients” they found at a homeless shelter.

The Obama administration has been trumpeting these Medicare busts as evidence of its success in rooting out the fraud and abuse that may be filching as much as $60 billion a year out of the approximately $500 billion the country spends on the program every year.
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