TV News LIES

Friday, May 26th

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...


CBO: House Obamacare repeal bill would leave 23 million more uninsured

CBO reporet: 23 million Americans would lose health careRoughly 23 million more people would be uninsured over a decade if the House-passed Republican Obamacare...

Use of 'light' cigarettes linked to rise in lung adenocarcinoma

Light cigarettes lead to more lung adenocarcinomaStudy shows so-called "light" cigarettes do not benefit health and may contribute to the increased risk...

Magic mushrooms are the safest recreational drug, study says

Magic mushrooms safest form of recreational drugA new survey found that when it comes to recreational drug use, magic mushrooms appear to...

'Global gag rule' reinstated by Trump, curbing NGO abortion services abroad

Global gag rulePresident Donald Trump’s administration announced the details Monday of the president’s unprecedented international anti-abortion policy, which...
 
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!