Zone1 Straight Up Fraud: Data Confirms Insurers Are Stealing Billions From Seniors

[Harpy Eagle]

And who do we have to thank for this program.

The Duopoly.

Passed the Senate 85-15 and the House 346-85.

 

[Grumblenuts]

Same govt BS that most people who dont know how their govt works fall for. They QUOTE an impossibly LOW overhead because they FARM OUT all the accounting and patient interactions to a QUASI-INDEPENDENT group called Center for Medicare and Medicaid Services (CMMS) which has THOUSANDS of employees in several states collecting, analyzing and writing letter of benefit to EVERY Medicare/Medicaid patient quarterly. THATS HOW "Medicare" has such low overhead.

Since CMMS also does the accounting and statistical gathering -- it's all cleanly hidden away like Medicare runs on pure air and water.

Discovered this when Medicare declared my Dad dead when he was still alive. Seems like the 2 digit hospital code for "normal release" typed in backwards is the medical code for "deceased in hospital". It took my state representative 2 months to TRACE the error to "human typing issue" at CMMS and "UNdecease him".


Same trick they use on other government programs to LOOK ultra efficient and hide the TOTAL sum of their mammoth bureaucracy,

It's still just CMS, not "CMMS," but way to blame the victim in any case as is so obviously your want. So you caught CMS making a mistake? Whoop-tee-doo for you! Logic dictates that you'd prefer having United Healthcare absorb it all and asap. Bureaucracy? Who do you suppose pushed all this coding crap upon us in the first place? Hey, just blame "the government"! Privatize it baby! The bigger the better, the tighter the sweater! Whatever best serves the billionaires best serves us all!

If not "the government," who will stop them, you?

As alleged in the complaint, the proposed transaction would give United, a massive company that owns the largest health insurer in the United States, access to a vast amount of its rival health insurers’ competitively sensitive information. Post-acquisition, United would be able to use its rivals’ information to gain an unfair advantage and harm competition in health insurance markets. The proposed transaction also would eliminate United’s only major rival for first-pass claims editing technology — a critical product used to efficiently process health insurance claims and save health insurers billions of dollars each year — and give United a monopoly share in the market.

Notice "and save health insurers billions of dollars each year" -- Translation: This will allow UHC to buy back even more of its own stock so as to pay its officers/major shareholders more gigantic bonuses at all of our expense, not to mention enabling it to corrupt governments all the more. Capitalism run amok!