Tag Archives: Medicare Fraud

News

Atlanta abortion doctor charged with Medicare fraud

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From the liberal Atlanta Journal-Constitution.

Excerpt:

A metro Atlanta physician and his former office manager have been charged with Medicaid fraud after they billed the government nearly $400,000 for abortion services – which are barred from federal funding – and for ultrasounds not performed, authorities said.

Dr. Tyrone Cecil Malloy and CathyAnn Edwards Warner are charged in an indictment handed up Dec. 8 by a DeKalb County grand jury with two counts each of Medicaid fraud, according to a news release issued Monday by the Georgia Attorney General’s Office.

Malloy was arrested last week and has been released on bond to await trial, Channel 2 Action News reported. An arrest warrant was issued for Warner, and DeKalb and Clayton county authorities working together took her into custody Monday afternoon.

[…]The alleged fraud occurred at Malloy’s Old National Gynecology, a medical practice in the 6200 block of Old National Highway in College Park, whose website says it specializes in first-trimester abortions.

According to the indictment, between Dec. 9, 2007 and Aug. 9, 2010, the defendants billed the Georgia Medicaid program approximately $131,615 for new patient visits when, in reality, the visits were for elective abortions.

The Georgia Medicaid program is funded jointly by the state and the U.S. Department of Health and Human Services. Under federal law known as the Hyde Amendment, federal funds cannot be used for elective abortion services; nor are abortions covered by Georgia Medicaid, the indictment states.

Malloy and Warner also are charged in the indictment with billing Georgia Medicaid about $255,024 for detailed ultrasounds that actually were never performed during the same period from 2007 through 2010.

What happens when the government gets involved with paying medical bills? We get fraud. Government will never be as careful about how taxpayer money is spent as a private company will be about spending their own money.

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Understanding the real effects of the Democrat health care reform bill

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Story from the Wall Street Journal. (H/T ECM)

Excerpt:

The Congressional Budget Office figures the House program will cost $1.055 trillion over a decade, which while far above the $829 billion net cost that

[…]All this is particularly reckless given the unfunded liabilities of Medicare—now north of $37 trillion over 75 years.

[…]As for Medicaid, the House will expand eligibility to everyone below 150% of the poverty level, meaning that some 15 million new people will be added to the rolls as private insurance gets crowded out at a cost of $425 billion. A decade from now more than a quarter of the population will be on a program originally intended for poor women, children and the disabled.

[…]All told, the House favors $572 billion in new taxes, mostly by imposing a 5.4-percentage-point “surcharge” on joint filers earning over $1 million, $500,000 for singles. This tax will raise the top marginal rate to 45% in 2011 from 39.6% when the Bush tax cuts expire—not counting state income taxes and the phase-out of certain deductions and exemptions. The burden will mostly fall on the small businesses that have organized as Subchapter S or limited liability corporations, since the truly wealthy won’t have any difficulty sheltering their incomes.

This surtax could hit ever more earners because, like the alternative minimum tax, it isn’t indexed for inflation. Yet it still won’t be nearly enough. Even if Congress had confiscated 100% of the taxable income of people earning over $500,000 in the boom year of 2006, it would have only raised $1.3 trillion. When Democrats end up soaking the middle class, perhaps via the European-style value-added tax that Mrs. Pelosi has endorsed, they’ll claim the deficits that they created made them do it.

Under another new tax, businesses would have to surrender 8% of their payroll to government if they don’t offer insurance or pay at least 72.5% of their workers’ premiums, which eat into wages. Such “play or pay” taxes always become “pay or pay” and will rise over time, with severe consequences for hiring, job creation and ultimately growth. While the U.S. already has one of the highest corporate income tax rates in the world, Democrats are on the way to creating a high structural unemployment rate, much as Europe has done by expanding its welfare states.

Meanwhile, a tax equal to 2.5% of adjusted gross income will also be imposed on some 18 million people who CBO expects still won’t buy insurance in 2019. Democrats could make this penalty even higher, but that is politically unacceptable, or they could make the subsidies even higher, but that would expose the (already ludicrous) illusion that ObamaCare will reduce the deficit.

Click here to read the rest of the article. It’s quite comprehensive and yet concise.

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Medicare fraud is 7.5 times the profit of ten largest medical insurers

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Story from The Weekly Standard. (H/T ECM)

Excerpt:

As 60 Minutes reported last week, Medicare fraud is rampant and has now replaced the cocaine (ahem) business as the major criminal activity in South Florida. Both 60 Minutes and the Washington Post report that Medicare fraud now costs American taxpayers roughly $60 billion a year. That may sound like a lot of money, but surely it pales next to the extraordinary profits of private insurance companies, right?

Well, let’s see…. Last year, the profits of the ten largest insurance companies in America were just over $8 billion — combined. No single insurance company made even five percent of what Medicare reportedly loses in fraud.

While we’re making comparisons, in its real first ten years (2014-23), the Senate Finance Committee bill would cost $1.7 trillion. At the rate of last year’s profits, the combined ten-year profits of America’s ten largest insurance companies would be $83 billion — five percent of the costs of the Senate Finance Committee bill. Eighty-three billion dollars may not buy you much in comparison with BaucusCare, but — on the bright side — that ten-year tally is somewhat more than what Medicare loses each year in fraud.

Another great find by ECM! What would we do without him?