Medicare Costs are Skyrocketing – Are We Surprised?

Date: August 5, 2008

Even if you only read one newspaper a month, you have probably noticed that those vaunted government programs of Social Security and Medicare are having enormous financial problems.  

Because of the imminent retirement of the Baby Boomers and no doubt inept management by the 100,000+ government employees who earn their living managing your money, Social Security will run out of money in 10 or 20 years (depending on who wrote the article).  Medicare billing too, is escalating at an alarming rate. Medicare costs now exceed the budget of most countries on the planet. The two programs continue to eat away at the fabric of America.

And now (supposedly) the American people are clamoring for universal healthcare.  I don’t know about you, but I don’t know one rational informed soul who wants more government control in our lives, regardless of the bellowing by the liberals about the 46 million uninsured Americans.  Why is it never mentioned that a majority of the uninsured are people in their twenties who rarely need health insurance?  Why is it never mentioned that any citizen (or illegal immigrant) can walk into any emergency room and receive treatment at any time without paying a dime if they are indigent?  And worse yet, Uncle Sap will pick up the tab.  To compound the problem, rarely does anyone watch the store for fraud and waste.  Why should the public servants care?  It’s not their money they’re asked to dole out to Moe, Larry and Curly.

Well fortunately, there is one small organization that does watch the store on occasion – the Government Accountability Office (GAO).  This is the organization that exposes the huge fraud and waste in virtually every government program they have ever audited.

In a recent study of Medicare, the GAO revealed that the government authorizes fictitious sellers of wheelchairs, prosthetics and other medical supplies to submit replacement claims with non-existent or limited review. At least 10% of the $10 billion in annual Medicare payments for medical equipment are later deemed improper.

The GAO investigation revealed the following facts – not surprising to anyone knowledgable in government lethargy:

o         The Center for Medicare and Medicaid Services (CMS) approved two companies that the GAO deliberately set up as sham businesses.  The GAO provided sketchy information and false documents. The company had no clients or medical inventory. 

o         Once a fraudulent company is approved, they can easily get a doctor’s ID code (authorizing the expenditure) and begin submitting invoices.

o         A report by the Health and Human Services inspector general in December 2005 found that almost one-third of the 1,581 medical suppliers it visited in South Florida did not have an office at the business address they provided, even though they collectively submitted claims for hundreds of millions of dollars – and that’s just in South Florida.

o         One Florida businessman submitted claims from three fake medical supply companies in excess of $6.5 million in little over a year. Another company used a utility closet as an address.  He was sentenced to 37 months in prison and made to forfeit his Miami home and Rolls Royce.

o         A former secretary of fraudulent medical supplier started her own fake company and submitted $1.5 million in claims for urinary bags, canisters and air mattresses.  Medicare paid her $372,000.

If these were the findings in only South Florida, a rough estimate would be we can expect the GAO found only 1% of the fraud for this one component of Medicare billing throughout the country. We can safely multiply their findings by 100 or even 1000, and that staggering number may give us an idea of the waste and fraud in thousands of government agencies wasting your hard earned money across the land.  Ain’t life grand when you can make all of that money off the government without lifting a finger?

If American business ran their companies like the government runs government, every American business would be in bankruptcy.  As we’ve said many times before, “there is no accountability in government.”

Source: Associated Press

Read more news bites and articles