HEALTHCARE ISSUE

Healthcare Issue

Healthcare Issue

Introduction

Today health is one of the most profitable businesses in the U.S. and many people are trying to take advantage of that. One of the reasons for the change of the crimes of the street is the safest way is compared with the drug business. If we look at South Florida, we can see hundreds of people who live the "good life". The truth is that rarely does anyone sell drugs and more than half of these people are involved in health care, both legally and illegally. A couple of months ago, several spectators observed a pharmacy on the street. But unlike the conventional pharmacy, had not seen customers come in or out (Blendon, 2001). After two weeks, the pharmacy closed and became a warehouse.

This became a concern among some public because pharmacies do not yield truth without notice. The authorities were notified immediately and this became a sign of Medicare fraud. Medicare is an insurance program administered by the U.S. government, with health insurance coverage to people age 65 or who meet other specific requirements. The bill was signed by President Lyndon B. Johnson in an effort to promote cheaper medical care for the elderly (Blendon, 2001). Fraud is a criminal activity, which uses the misleading action for personal gain or in some cases, damage to another person.

In the United States one of every eight dollars spent on Medicare goes down the black hole of fraud, according to figures reported by this entity. No benefit to anyone and affecting the pocket of every taxpayer the millions of Medicaid and Medicare scams are a problem that can be solved if each person who uses up all its alerts system. Fraud costs the Medicare program millions of dollars per year and you end up paying fraud health care costs higher. Also, if Medicare contractors receive a report "credible" fraud on the part of a patient, payments to a provider may be temporarily suspended pending an investigation. New registrations can also be suspended temporarily in an area of suspected health care fraud. Improvements in detecting and technology came in response to massive losses for taxpayers in South Florida, regarded as the capital of health care fraud in the U.S., and elsewhere in the country. The Medicare fraud losses are estimated at tens of billions of dollars a year across the country. Both individuals and companies or groups of individuals can carry out fraudulent.

The following are examples of possible Medicare fraud:

A health care provider bills Medicare for services you never received.

A provider bills Medicare for equipment that you never received.

Someone used the Medicare card of another person to access medical care, supplies or equipment.

One bill Medicare for home medical equipment once it was returned.

A company offers a Medicare drug plan that has not yet been approved by Medicare.

A company uses inaccurate information to make you join a Medicare plan (Davidson, 2003).

As a result, Medicare fraud is where people (ie, the party involved) to mislead patients and the government to ...