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Politics : A US National Health Care System?
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To: Lane3 who wrote (7511)7/13/2009 5:35:19 PM
From: i-node  Read Replies (1) of 42652
 
But I am skeptical about what can cost-effectively be done about it.

It isn't my area of expertise, so I have no more idea than you would.

It seems to me there is a lot of focus on procedural tedium and I wonder whether some good old legwork might be more effective.

For example, for a new provider to get enrolled and submitting claims with Medicare services today can easily take six months in some states. Presumably, because they're doing their work to help protect against fraudulent providers. No private insurance plan I know of takes this long and almost all will accept claims on Day One without any prior enrollment.

Why not ditch the enrollment people and have some people who are focused on fraud prevention? We know, for example, that in Arkansas, Medicaid fraud in the medical transportation area has been rampant. Why not eliminate the 90-180 day enrollment bottleneck, and use those dollars to run down the people who are misbehaving?

IRS does an impressive job of running down fraud and misreporting -- on what, a billion a year?

Again, not my expertise but I can't help but think more could be done. At any rate, I don't believe private insurers are taking the kinds of hits Medicaid/Medicare are. I'm not quite sure how the people reporting it would know, though.
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