TV News LIES

Thursday, Aug 28th

Last update05:58:02 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...


3 ways insurers can still avoid covering the sick

Insurers can avoid high risk patientsInsurers can no longer reject customers with expensive medical conditions thanks to the health care overhaul,...

Japan to provide experimental Ebola drug

Japan offer ebola drugJapan is ready to provide an unapproved, anti-influenza drug to help treat the deadly Ebola virus,...

Fraud at the CDC uncovered, 340% increased risk of autism hidden from public

CDC cover up: vaccinesA top researcher at the Centers for Disease Control and Prevention (CDC) played a key role...

DEA imposes restrictions on hydrocodone amid painkiller addiction epidemic

Hydrocodone restrictedThe federal government will tighten restrictions on narcotic painkillers made with hydrocodone in order to curb...
 
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!