Medicare Fraud is only a Prelude to Obamacare Fraud

Posted by PITHOCRATES - October 5th, 2013

Week in Review

It is remarkable how so many people believe the government can do things better.  That somehow fraud just doesn’t happen with government people involved.  This despite those hundred dollar toilet seats the government bought.  Which is a lot for a toilet seat if you’ve never bought one.  I mean, you can buy one for less than $10.  But because the government is so large and handles so much money they attract fraud like fresh dog poop attracts flies.  There are just too many people.  And too much money.  Making it too easy for someone to slip in a bill for hundred dollar toilet seats.  Which is why fraud is rampant in government programs.  Like Medicare (see ‘Death doctor’ accused of misdiagnosing cancer patients to scam millions out of Medicare a ‘serious risk’ to flee the country posted 10/2/2013 on Mail Online).

A Michigan oncologist charged with intentionally misdiagnosing patients with cancer as part of a major Medicare fraud operation will remain in prison until trial, with court officials scared he will flee to the Middle East.

It is alleged Fata received about $35 million from Medicare via his insurance scam over a two year period.

So what’s the difference between private health insurers and the federal government?  People hate the private insurers for refusing to pay for their medical bills.  To prevent fraud.  Someone concealing a pre-existing condition when buying health insurance is committing an act of fraud.  The whole idea of Obamacare is to prevent this kind of fraud.  By forcing everyone to buy health insurance.  Instead of living their lives without ever contributing to the insurance pool until the day they find out that they have a catastrophic health problem.  And then lie to an insurance company to conceal that catastrophic health problem.  So they can get the health insurance pool to pay for their medical care.  Even though they never contributed to that insurance pool when they were healthy.

This is why people hate private insurance companies.  For preventing fraud.  Which is why you don’t see fraud in the private health insurance companies on the scale you see in Medicare.  Because Medicare uses taxpayers’ money.  So the people in charge of Medicare don’t suffer a loss in any fraud.  Unlike the private health insurers.  So the private health insurers are more aggressive in preventing fraud.  While the federal government just raises taxes to pay for the fraud committed on their watch.  That’s the difference between private health insurers and the federal government.

And if you think the Medicare fraud was bad you ain’t seen anything yet.  Thanks to Obamacare.  With the federal government taking over one-sixth of the national economy we will see fraud like we’ve never seen before.  More money.  More people.  An organization so big the left hand won’t know what the right hand is doing.  Making Obamacare a fraud paradise.  Not to mention a gift for hackers and identity thieves.  Who can find out everything on everyone from one location.  Making that $35 million Medicare fraud seem like child’s play.

Don’t think so?  You’re willing to trust the harden defenses of the government’s computer system?  If so, ask yourself this.  How well did the rollout of Obamacare go this past week?  How well did those computer systems do in collecting the data upfront?  Not well.  And knowing how poorly the rollout was are you any more confident that once they have all of your personal information that their system will work any better?  Or do you think it will just make it easier for people like this doctor in Michigan?

Every bad thing that happened in Medicare will be worse in Obamacare.  Because Obamacare is bigger than Medicare.  And as this fraud takes a bigger bite out of the Obamacare cash-flow there will be less money for treating patients.  Meaning longer wait times.  And rationing.  As well as higher taxes to pay for the fraud.  So we will end up paying more for less under Obamacare.  Just like with Medicare.  Only worse.

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Computerized Medical Records open the Door to Fraud and Give Glimpse of Health Care under Obamacare

Posted by PITHOCRATES - September 29th, 2012

Week in Review

One of the ways to improve efficiency and cut costs in health care is to digitize medical records.  President Obama and the Democrats kept talking about that as they pushed Obamacare through a Democrat-controlled House and Senate.  This simple fact was going to fix so much that was wrong with health care in the U.S.  Putting all our personal information online is just common sense.  Because it makes it so much easier for health care providers to look up our personal information no matter where they are.  And as it turns out, it makes it easier for others to pull up that personal information (see Feds warn hospitals over Medicare fraud by Associated Press posted 9/24/2012 on CBS NEWS).

Computerized medical records were supposed to cut costs. Now the Obama administration is warning hospitals that might be tempted to use the technology for gaming the system.

Health and Human Services Secretary Kathleen Sebelius and Attorney General Eric Holder issued the warning Monday in a letter to hospital trade associations, following media reports of alleged irregularities.

The letter said there were indications that some providers were using computerized records technology to possibly obtain payments to which they were not entitled. It raised the threat of prosecution.

Among the practices under scrutiny is what’s called “upcoding” — or raising the severity of a patient’s condition to get more money.

The U.S. spends about $770 billion annually on Medicare based on a recent CBO projection.  Imagine the fraud in the system when the government takes over all $2.6 trillion of health care spending.  If the spending increases by 238% one can assume the fraud will increase by 238%.  Fraud made easier by the digitizing of our health care system.  Unless, of course, the U.S. will have the best cyber security in place like they do for Medicare.

Hospitals say part of the problem is that Medicare has lagged in updating billing guidelines for emergency room and clinic visits.

Getting the billing guidelines in place is probably the easier part of a computerized billing system.  Probably a lot easier than securing that system from cyber attacks.  So it doesn’t give one a strong sense of confidence that our personal information will be safe online.  Especially when the government goes from processing $770 billion annually to processing $2.6 trillion annually.

Obamacare may make it easier for doctors to access all our personal information.  But it will also make it easier for everyone else to access our personal information.  Including those we don’t want seeing our personal information.  Those who want our social security number.  Address.  Phone numbers.  Addresses and phone numbers of our family members.  As well as our personal medical history.  All of which will be one click away for those who would really like to have it.  Makes you yearn for the old days.  When only your family doctor had that information.  On a paper file.  In his or her file cabinet.  Safe and secure.  Even if it was not the most efficient system in the world it was one you didn’t have to worry about.

Sadly, those days are long gone.  For Obamacare will put your health care experience on the public stage.  Where little will be secure from prying and persistent eyes.  Where the same people will be responsible for your personal information that can’t stop Medicare fraud.

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