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Medicare fraud drains billions from health care program

First, some good news for the 44 million elderly and disabled beneficiaries of Medicare. The government has announced that there will be no premium increase in 2009. This is only the sixth time in Medicare's history that rates have held steady for two consecutive years, according to the Bloomberg News.

Rick Foster, Medicare chief actuary, said holding the line on premiums had NOTHING to do with this year's presidential election. Really??????

As Election Day approaches, wouldn't it make smart political sense for an unpopular Administration to hold the line on premiums when the nation's seniors and disabled are struggling with the costs of health care, food, transportation and housing? 

In fairness, we'll give Foster the benefit of the doubt.

Now for a related story...the Los Angeles Times reported the arrest of an ex-con for scheming to bilk the Medicare for millions.

Turns out the con, who is now singing to the feds, was a small player in a larger fraud scheme aimed at fleecing the Medicare system for $33 million. The arrests were made by the Medicare Strike Force. The Times reported that since its inception, the Strike Force has indicted 175 people alleged to have ripped off Medicare for half a billion dollars.

"We're talking about losing billions of dollars annually through fraud and abuse," said Kirk Ogrosky, the Justice Department prosecutor.  Really?

The Miami Herald reports that healthcare fraud is "massive" in South Florida. In the year ending Sept. 30, 245 defendants were charged with filing $793.5 million in false Medicare claims, according to U.S. Attorney R. Alexander Acosta.

While most cases resulted in convictions, the Herald reports that the government has recovered little from the Medicare crooks because they spent it quickly on lavish lifestyles.

In the meantime, the nation's seniors and disabled are shortchanged on what Medicare will--and will not--cover for their healthcare needs.

How much more fraud is out there? If aggressive fraud investigation and enforcement are made a priority by the federal government perhaps more millions can be saved--and maybe the Medicare system will no longer be the subject of dire predictions about its financial solvency. 

Maybe Medicare premium increases could become permanently frozen--or even decreased? Maybe the nation's seniors and disabled, who rely on it for their health care, will no longer see premiums and copayments rise every year.

A new president looking for ways to fund a better health care system for Americans should take a hard look at increased policing of the Medicare system for fraud and inefficiency. 

How to Report Medicare fraud

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Ffoud in Medicare

These e-mail I send to Medicare Froud tip: HHSTips@oig.hhs.gov - 10/3/08 - never hada an answer.
My wife Jean Avellan (014-22 -4565-M) is dying and the doctor order for her a Hospice Nurse to take care of her.

When the medicine they send for her starting to arrived to our apartment (600 Canton Ave. Bldg. 2b Apt 2. Milton MA 02186). They came in a big envelope from FEDERAL EXPRESS. 3 envelopes at the time. Each had inside a small tube 1 oz. of Zinc Oxide 20% that I buy in CVS pharmacy for $3 or $4. For me that was very ad, that the pharmacy spend so much money in sending each small tube.

I started to look for the Pharmacy invoice, and I found a lot of discrepancy: Pharmacy EXCELLERX .

Hospice: Partner’s Hospice. Order #15064415. Rx 906737332 10/07/08 ZINC OXIDE 20% OINTEMT

$ 226.80.

RX 906737345 10/07/08 MAGIC BUTT PASTE $ 240.00 (it came in a plastic case about 6 onz. Made in the Pharmacy.) I look in the internet there is not “MAGIC” any thing. But the regular Butt Paste made by “BOURDREAUX” = Butt Paste Diaper Rash Ointment Jar of 16 oz. Cost $ 16.42.

Order # 15060218 again another MAGIC BUTT PASTE for $ 240.00 (but we only receive one)

Another zinc oxide for $226.80

Order # 15056630 Zinc Oxide 20% $ 226.80

Another MAGIC BUTT PASTE $ 240.00 (we only have one)

Order# 15026738 (Very Interesting) Zinc Oxide 20% $30.00 ???

Order # 15038935 (More Interesting) Zinc Oxide 20% $ 60.00 ???

We complained to the Social Worker of the Hospice, because the nurse attending my wife was very rude, and had very little compassion and bad bed side manners. They through my wife out of Hospice.

I call that pharmacy to see if my doctor could order some medicine for my wife; they said we only work with Hospice. ( ????)

I have all the invoices of the pharmacy here, if you want give me your fax number and I faxed to you.

Sincerely;

Manuel Avellan

600 Canton Ave. # 2-212

Milton MA 02186

617-696-9831

mavellan@comcast.net
My wife die December 27,2008

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