Quote:
Originally Posted by ROCKETMAN
I think of all the fraud Medicare and Medicare would be in the billions. Doctors ordering unnecessary tests, people not looking at their bills to see if they actually had this test, and the reasons go on forever. Unfortunately it’s so massive with the number of elderly increasing every day this would be a huge undertaking. And Medicare nursing homes that’s a story for another day.
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IMHO, the amount of fraud is in the tens of billions. Insurance companies adding diagnoses is fraud, same for hospitals and doctors.
"Unnecessary" tests are not fraud , and are driven by one thing and one thing only-----
LAWYERS
It is estimated that the defensive practice of medicine costs us $600-700
BILLION/year. Want to cut costs?-----limit so called "pain and suffering" awards and penalize lawyers that bring frivolous lawsuits. There is real malpractice from unqualified or impaired providers, but that is a small fraction of what is going on---the majority of lawsuits are for "maloccurence"---a bad outcome through no fault of the provider.