Periodically send each Medicare / Medicaid recipient a listing of common characteristics of fraudulent providers (e.g. billing for services not actually provided, listing medications and equipment not actually provided, etc.) and provide advice on how to report the fraud. Add the incentive of up to $50,000 tax-free reward tailored to the magnitude of fraud that they report which is validated upon investigation. Implement ...more »
Right now, every American citizen pays their state and federal taxes which goes directly toward funding the Medicaid program - which is widely abused. There are also individuals who go to their local hospital without any insurance and no means to pay for their visit. Their medical bills also ends up in the taxpayer's hands. I suggest that the hospitals be reformed to reorganize how patients are handled. Right now, whoever ...more »
CMS/Medicaid Pharmacy : Why don’t we, the government (CMS) open their own mail order pharmacy? The cost difference between the average wholesale price (AWP) and the acquisition cost (AQC) is sometimes 10,000% wide. So the insurance companies and retail pharmacies are buying medications for pennies and selling them to the government (CMS and Medicaid programs) to highly inflated price. Even though the Medicaid programs ...more »
As Newsweek writes, “(We) can talk all (we) want about eliminating waste, fraud, and abuse (in government). But the truth is, we could pull the plug on the entire federal bureaucracy and it would barely make a difference (to government deficits and debt). The real problem is runaway costs in three sacred entitlement programs: Medicare, Medicaid, and Social Security.” Clearly, cutting benefits would be unfair to those ...more »
I suggest that you reform the hospitals to reorganize how patients are handled. Right now, whoever goes to the hospital must be seen, which means that our emergency care doctors are spending most of their time helping people with minor colds and those seeking shelters instead of the emergencies that they were trained for. People who need immediate attention are having to wait because the lobby is packed with cases that ...more »
Stop using tax payer dollars on entitlement programs that don't educate or train recipients. If there's no real end for entitlement, it WILL be abused. Also, human nature is to respect things earned and not respect thins arbitrarily given.
I suggest exchanging the 24 month waiting period for Medicare to a 24 month wait for Medicaid instead. This would save immeasurable amounts of money...
Issue electronic health record cards containing pertinent health history information for Medicare and Medicaid recipients, which can be secured in a fashion similar to an ATM card. These cards could be updated after a visit to the physician or other healthcare provider and kept with a patient for use in times of medical emergency. These cards would not have all of the patient's health history on it, however, would have ...more »
To help seniors better understand what their health care providers are billing/charging the Medicare program, beneficiaries' Medicare Summary Notices should include plain language about services billed to Medicare by inpatient and outpatient providers. Most seniors do not understand the scientific and medical names of certain diseases and body parts. Therefore, they may not be able to report fraud and abuse. By using ...more »