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Hearings should spur state to strengthen program's integrity.
If one would look at Connecticut,Florida, Arizona and Minnesota to name a few. You would see this health care fraud are in to the 100's of billions. If the U.S.D.O.J. Would go after the H.M.O.'s for each fraud claim that the H.M.O.'s has filed in the last 4 years. They could recoverover $ 1 trillion dollar +. The U.S.D.O.J. Could charge the H.M.O.'s under Title 18 of the U.S. Code, Sections 1001, 287, 371, 1341 and 1343 to name a few. Which would mean that. “A convict must pay back three times the amount stolen in addition to a civil fine of $5000 to $10000.” for each false claim.
This would pay for Obama care. One last comment, This would make Bernard Lawrence Madoff look like a 5 and dime shoplifter.
DHS continues to say they have done nothing wrong with their distribution of Federal money. The sad thing in the past year the HMO's have given back $103 Million dollars which should have went to care for the people of Minnesota who need it the most! It's time for Lucinda Jesson and DHS to be accountable!
Obama promised to stop the fraud in 2008 and took no action. Par for the course - just another in his long list of lies.
Since MN went with Managed Care (the possibly-oxymoronic name of program referred to in this article) we've seen service quality go down. This is due in large part to the morass of (often completely ridiculous) regulations that the managers must employ. Services that used to entail a simple referral now must first go the regular route, be formally denied, then appealed, then finally approved. This not only adds to the delay but also the cost. As with most things in Government the cost increases are due not so much to a cost in the actual service but in all the bureaucratic BS obtaining it.
Yeah what ever happened to Obama's promise that he would go through his government and look for any waste and overspending? Guess he was too busy golfing and partying.
The real waste is in the fee for service payment model where we pay for volume, not value.
Fraud is a key component of any form of government
assistance. Poor people need quality health care
just like anyone else. Give them the opportunity
to earn it through community service. Folks of
good character will appreciate to the chance to provide for themselves. Others will do nothing and receive nothing, just as it should be.
This spring, the state's four big nonprofit plans -- Blue Cross, Medica, HealthPartners and UCare -- returned $73 million to the state in a one-time deal brokered by Gov. Mark Dayton's administration.
Does anyone else see the irony in the term "nonprofit". HMO's pay their ceo's millions a year and I highly doubt the cost are not covered by the users of the service. Give me a break nonprofit is no real term it is just a lower taxed business and we all get to fill in the gaps. How long are we going to put up with all this thievery. Us regular folks would be in jail if we did what some businesses get away with. Medical, Wall St.....
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