Seniors may have to pay for Medicare home health

Discussion in 'Healthcare/Insurance/Govt Healthcare' started by Zoom-boing, Jan 13, 2011.

  1. Zoom-boing
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    Zoom-boing Gold Member

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    Seniors may have to pay for Medicare home health - Yahoo! News

    First bolded: wouldn't coordinating the system across counties be another way to solve the problem?

    Second bolded: "In some counties home health admissions exceed the number of residents on Medicare". Who is perpetrating the fraud? It doesn't sound like Medicare patients are, if the admissions exceed the number of residents on Medicare. So the conclusion would be that it is those who are either doing the admissions or someone(s) else within the system? Which brings me to this

    Third bolded: "The charge would be collected for each home health agency admission". :confused: It would appear that fraud is coming from within the system and it is known that there are home health admissions exceeding the number of residents on Medicare, so to solve the problem they want to charge those who are not causing the fraud . . . those on Medicare?

    Am I reading this wrong?
     
    Last edited: Jan 13, 2011
  2. Madeline
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    It doesn't seem that way to me, Zoom-boing.

    This is such an essential service to a person who needs it. I think they should attack the fraud, not the patients.
     
  3. Revere
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    I worked in Medicare Home Health a while ago. The fraud mentioned in that story squares with my anecdotal recollections.
     
  4. Madeline
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    One of my neighbors has cancer, and is slowly dying. Without home health care, she'd be in a nursing home. I just can't imagine adding to this lady's distress.

    There has to be a better way.
     
  5. Revere
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    Well, the country is $14T in debt. Lots of people will want something that won't be there.
     
  6. Madeline
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    Ya, I know. But the concern here seems to be the level of fraud, Revere. Based on your experience, can't it be addressed?
     
  7. Revere
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    In my opinion, no. The fraud becomes an incentive to stay in business. In Medicare Home Health, anyway.

    Same thing happens in state subsidized day care.
     
  8. Zoom-boing
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    Zoom-boing Gold Member

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    What doesn't seem that way?

    I agree I think they should attack the fraud. My question is . . . where is the fraud coming from? Bogus people claiming to be on Medicare or via admissions or somewhere within the system or ? ? ?
     
  9. Zoom-boing
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    Zoom-boing Gold Member

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    Can you elaborate?
     
  10. Madeline
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    I'd imagine part of the problem is anyone can form a Home Health Agency. You, the owner, need have no medical degree. That leaves the field wide open -- this is a problem with Durable Medical Equipment as well.
     

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