Thursday, January 26, 2012
Stopping Healthcare Fraud and Abuse
Obviously trying to stop Medicare fraud is like trying to stem the tides. It's gotten so beyond control the administration appears defenseless to stop it. Medicare is facing some serious challenges ahead and some people say that if the system keeps on being abused, then it'll run out of money by 2017.
Here is an illustration of why Medicare is in trouble:
If you take an average couple, then in 2010 (according to the Associated Press) their joint household earnings would be somewhere around $89,000. If they stood down in 2011 and were fit for Medicare then they should have just paid in around $114,000 in Medicare taxes. However because folk are living far longer now than the projected age back in 1965, then their anticipated hospital therapy costs including prescriptions are projected to be around $355,000.
As you can see, that's a short fall of close to 1/4 of a million dollars. Add to this the fraud aspect and it does not take a genius to work out that the Medicare programme is seriously draining the governing body coffers.
The bottom line is that something needs to be done about Medicare fraud. If scammers and conmen know that not only are they going to be forced to keep a keep a look out for the government, but also any member of the public, they may very well think carefully before committing the crime.
A Record of Medicare Fraud
Medicare first came into being in 1965 when the then President, Lyndon B. Johnson, created the act as an attachment to existing social security legislation. Essentially it's a social security programme that provides medical care insurance cover to persons aged sixty five or over or for people that are below the age of 65 but who have a physical incapacity or are disabled, or to people who meet other specialised standards.
Obviously trying to stop Medicare fraud is like trying to stem the tides. It's gotten so beyond control the administration appears defenseless to stop it. Medicare is facing some serious challenges ahead and some people say that if the system keeps on being abused, then it'll run out of money by 2017.
Here is an illustration of why Medicare is in trouble:
If you take an average couple, then in 2010 (according to the Associated Press) their joint household earnings would be somewhere around $89,000. If they stood down in 2011 and were fit for Medicare then they should have just paid in around $114,000 in Medicare taxes. However because folk are living far longer now than the projected age back in 1965, then their anticipated hospital therapy costs including prescriptions are projected to be around $355,000.
As you can see, that's a short fall of close to 1/4 of a million dollars. Add to this the fraud aspect and it does not take a genius to work out that the Medicare programme is seriously draining the governing body coffers.
The bottom line is that something needs to be done about Medicare fraud. If scammers and conmen know that not only are they going to be forced to keep a keep a look out for the government, but also any member of the public, they may very well think carefully before committing the crime.
A Record of Medicare Fraud
Medicare first came into being in 1965 when the then President, Lyndon B. Johnson, created the act as an attachment to existing social security legislation. Essentially it's a social security programme that provides medical care insurance cover to persons aged sixty five or over or for people that are below the age of 65 but who have a physical incapacity or are disabled, or to people who meet other specialised standards.
About the Author:
If you need to report medicare fraud then you need the help of a qui tam attorney. Read on the essay of Zabriell Watling about the best way to stop health care fraud and abuse.
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