TV News LIES

Monday, Aug 03rd

Last update03:16:06 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...


WHO: Trials show new Ebola vaccine is 'highly effective'

Ebola vaccineA newly developed vaccine against the deadly Ebola virus is "highly effective" and could help prevent...

'Jaw-dropping': Medicare deaths, hospitalizations AND costs reduced

Medicare reductions in deathsThe U.S. health care system has scored a medical hat trick, reducing deaths, hospitalizations and costs,...

New biomarker, therapeutic target for breast cancer identified

New biomarker for breast cancerResearchers have discovered a molecule present in basal-like breast cancer, or BLBC, tumors that allows them...

FDA reviews nutrition label change to highlight added sugar

added sugarThe Food and Drug Administration is reviewing a controversial change to nutrition labels to add amounts...
 
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!