Medicare

UPDATED 18:09 PM EST, February 15, 2013

Waste Watch

Congress' main investigative arm, the Government Accountability Office, has released its latest list of government programs at high-risk of waste, fraud and abuse, continuing a tradition of providing lawmakers with the report every two years at the start of a new Congress.

And most on this year's list are long-time, repeat offenders.

UPDATED 7:07 AM EDT, March 20, 2013

Medicare's Grocery Card Giveaway

The Department of Health and Human Services has given qualified approval for a Medicare provider to give away $20 grocery gift cards to induce seniors to get more taxpayer-funded health screenings, despite concerns the promotion could run afoul of federal anti-kickback laws.

UPDATED 15:19 PM EST, January 3, 2013

Medicare's Medication Mistake

The government office that oversees Medicare and Medicaid has reimbursed prescription drugs at market costs, instead of at optional lower rates that could potentially save taxpayers millions of dollars a year, a government investigation has found.

The Centers for Medicare and Medicaid Services (CMS) reimburses prescription drug purchases by beneficiaries through Medicare Part B.  The cost is supposed to be no more than five percent above what it takes to manufacture the drugs. 

UPDATED 11:06 AM EDT, October 11, 2012

Medi-Careless

Thousands of Medicare beneficiaries were put at risk of having their private medical information stolen because of security breaches, and the government was slow to notify or help most of the victims, an internal investigation found.

The stimulus law passed in 2009 required the Centers for Medicare and Medicaid Services (CMS) to quickly alert victims of possible identity theft, but the Health and Human Services Office of Inspector General found the agency often was slow to do so for many of the 13,775 beneficiaries put at risk by 14 recent security breaches.

UPDATED 21:13 PM EDT, September 13, 2012

Day Late, Dollar Short

The Health and Human Services Department overpaid providers $8.4 million because it did not deduct late fees owed by Medicare and Medicaid providers, the agency's internal watchdog has found.

UPDATED 19:31 PM EDT, August 23, 2012

Freudian Fraud

Safeguards on Medicare funding for community mental health centers are so weak that half the centers have unusually high billing with characteristics that suggest fraud, according to an investigation by the Health and Human Services Department's internal watchdog.

The report focuses on Medicare's Partial Hospitalization Program, which provides outpatient services to help mental health patients after a hospital stay.

UPDATED 9:05 AM EDT, August 12, 2012

Ryan's Retiree Romp

Rep. Paul Ryan, Mitt Romney’s newly selected running mate, amassed a healthy campaign warchest during his time as House Budget Committee chairman, starting August with more than $6.1 million in cash in the bank.

But unlike many powerful committee chairmen, Ryan’s biggest source of political money to his re-election campaign and leadership political action committee aren’t the well-oiled special interest groups and their lobbyists who hover the halls of Congress.

UPDATED 15:05 PM EDT, July 26, 2012

Ripe for Fraud

The Department of Health and Human Services isn't meeting President Barack Obama's high-profile directive to reduce waste, fraud and abuse in government, failing to report all excessive or inappropriate payments from Medicare, Medicaid and other entitlement programs, the agency's internal watchdog warns.

UPDATED 18:15 PM EDT, July 27, 2012

Deadly Silence

Hospitals disclose to state authorities few of the adverse events suffered by Medicare patients despite legal reporting requirements, undercutting an important safeguard against medical mistakes, a federal investigation has found.

The Department of Health and Human Services inspector general’s review concluded most of the adverse events – bad reactions, medical mistakes or unexpected symptoms – aren’t even being caught by the hospitals’ own monitoring systems.