TV News LIES

Friday, Sep 30th

Last update05:20:13 AM GMT

You are here News Health "Let the Crime Spree Begin": How Fraud Flourishes in Medicare's Drug Plan

"Let the Crime Spree Begin": How Fraud Flourishes in Medicare's Drug Plan

E-mail Print PDF

Medicare prescription drug fraudToday, credit card companies routinely scan their records for fraud, flagging or blocking suspicious charges as they happen. Yet Medicare’s massive drug program has a process so convoluted and poorly managed that fraud flourishes, giving rise to elaborate schemes that quickly siphon away millions of dollars.

Frustrated investigators for law enforcement, insurers and pharmacy chains say they don’t see evidence that Medicare officials are doing much to stop it.

“It’s kind of a black hole,” said Alanna Lavelle, director of investigations for WellPoint Inc., which provides drug coverage to about 1.4 million people in the program, known as Part D.

Lavelle said her team routinely refers doctors and pharmacies to the contractor Medicare hires to pursue fraud.  "Oftentimes we never hear back, positive or negative."

Since it started in 2006, Part D has been lauded for its success in getting needed medications to more than 36 million seniors and disabled enrollees.

But over the past year, ProPublica has detailed how Part D is beset by weak oversight.  Medicare doesn’t analyze its prescribing data to root out doctors whose inappropriate drug choices endanger patients. Nor has it flagged those whose unchecked devotion to name-brand drugs, instead of generics, adds billions in needless expense.

More...


Most Recent Related Stories...


Heroin is now legal in Canada — if you have a prescription

Canada legal in canadaHeroin addicts in Canada don’t have to find their next hit on the street. They can...

Drug for spinal muscular atrophy appears effective in mice

Drug for spinal MS works in miceA drug designed for patients with Duchenne muscular dystrophy was shown in a study with mice...

Researchers develop material for 3D-printing bone

3-d bone printingA team of researchers from Northwestern University have developed a 3D-printable ink that produces synthetic bone...

The Unnerving Way Scientists Rationalize Taking Big Soda’s Money

Scientists take big soda's moneyThe internet was outraged earlier this month after a new report revealed the sugar industry paid...
 
America's # 1 Enemy
Tee Shirt
& Help Support TvNewsLIES.org!
TVNL Tee Shirt
 
TVNL TOTE BAG
Conserve our Planet
& Help Support TvNewsLIES.org!
 
Get your 9/11 & Media
Deception Dollars
& Help Support TvNewsLIES.org!
 
The Loaded Deck
The First & the Best!
The Media & Bush Admin Exposed!