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	<title>Comments on: Health Care Crime</title>
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		<title>By: DLS</title>
		<link>http://themoderatevoice.com/15497/health-care-crime/comment-page-1/#comment-101031</link>
		<dc:creator>DLS</dc:creator>
		<pubDate>Tue, 09 Oct 2007 20:11:54 +0000</pubDate>
		<guid isPermaLink="false">http://themoderatevoice.com/politics/domestic-programs/15497/health-care-crime/#comment-101031</guid>
		<description>[Medicare For All]

I donâ€™t know how much cost savings we would get from the program.

Nobody knows.  (I don&#039;t trust the figures in the Conyers-Kucinich bill.)  Cost savings would only happen early in the transition; medical care continues to increase in costs and our population will be more costly to treat as it ages.  That there should be savings initially, I don&#039;t think it&#039;s possible to dispute.

&lt;blockquote&gt;It would however be more equitableâ€¦ &lt;/blockquote&gt;

[Righty anti-collectivist least-common-denominator remarks suppressed  *wink*]

&lt;blockquote&gt;It would help prevent people choosing between bankruptcy or their healthâ€¦ &lt;/blockquote&gt;

Yes.

&lt;blockquote&gt;And it would hopefully catch expensive issues early, when they are cheaper to treat.&lt;/blockquote&gt;This may happen sometimes.</description>
		<content:encoded><![CDATA[<p>[Medicare For All]</p>
<p>I donâ€™t know how much cost savings we would get from the program.</p>
<p>Nobody knows.  (I don&#8217;t trust the figures in the Conyers-Kucinich bill.)  Cost savings would only happen early in the transition; medical care continues to increase in costs and our population will be more costly to treat as it ages.  That there should be savings initially, I don&#8217;t think it&#8217;s possible to dispute.</p>
<blockquote><p>It would however be more equitableâ€¦ </p></blockquote>
<p>[Righty anti-collectivist least-common-denominator remarks suppressed  *wink*]</p>
<blockquote><p>It would help prevent people choosing between bankruptcy or their healthâ€¦ </p></blockquote>
<p>Yes.</p>
<blockquote><p>And it would hopefully catch expensive issues early, when they are cheaper to treat.</p></blockquote>
<p>This may happen sometimes.</p>
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		<title>By: DaveA</title>
		<link>http://themoderatevoice.com/15497/health-care-crime/comment-page-1/#comment-100937</link>
		<dc:creator>DaveA</dc:creator>
		<pubDate>Tue, 09 Oct 2007 02:36:12 +0000</pubDate>
		<guid isPermaLink="false">http://themoderatevoice.com/politics/domestic-programs/15497/health-care-crime/#comment-100937</guid>
		<description>Sure, medicare is a big program but insuring people any other way is just a lot of small programs that add up the same way.  

And, I agree more effort should be set on checking fraud.  Along with a bit more realism in setting reinbursement too.  A lot of that fraud is incentivised due to barely breaking even or going negative on treatment/care I bet.

Medicare/aid seems no more complex than any other insurace.  X is covered (or not) for Y though Dr. Z on dates blah blah blah...   Okay they check age too. But that is the small potatoes when it comes to complexity.   I wrote my past co&#039;s elegibility check myself so I know wherefor I speak, or at least think I do.  Now add in gap insurance and things get a bit trickier I agree...

I don&#039;t know how much cost savings we would get from the program.  Other countries do see large savings and improvement in precieved care quality...  But that will not neccessarily translate to our environment I grant.  

It would however be more equitable...  It would help prevent people choosing between bankruptcy or their health...   And it would hopefully catch expensive issues early, when they are cheaper to treat.  Granted the patient would have to follow through and not all will, but still it would improve at least somewhat in that regard</description>
		<content:encoded><![CDATA[<p>Sure, medicare is a big program but insuring people any other way is just a lot of small programs that add up the same way.  </p>
<p>And, I agree more effort should be set on checking fraud.  Along with a bit more realism in setting reinbursement too.  A lot of that fraud is incentivised due to barely breaking even or going negative on treatment/care I bet.</p>
<p>Medicare/aid seems no more complex than any other insurace.  X is covered (or not) for Y though Dr. Z on dates blah blah blah&#8230;   Okay they check age too. But that is the small potatoes when it comes to complexity.   I wrote my past co&#8217;s elegibility check myself so I know wherefor I speak, or at least think I do.  Now add in gap insurance and things get a bit trickier I agree&#8230;</p>
<p>I don&#8217;t know how much cost savings we would get from the program.  Other countries do see large savings and improvement in precieved care quality&#8230;  But that will not neccessarily translate to our environment I grant.  </p>
<p>It would however be more equitable&#8230;  It would help prevent people choosing between bankruptcy or their health&#8230;   And it would hopefully catch expensive issues early, when they are cheaper to treat.  Granted the patient would have to follow through and not all will, but still it would improve at least somewhat in that regard</p>
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		<title>By: Jim Satterfield</title>
		<link>http://themoderatevoice.com/15497/health-care-crime/comment-page-1/#comment-100927</link>
		<dc:creator>Jim Satterfield</dc:creator>
		<pubDate>Tue, 09 Oct 2007 01:11:08 +0000</pubDate>
		<guid isPermaLink="false">http://themoderatevoice.com/politics/domestic-programs/15497/health-care-crime/#comment-100927</guid>
		<description>DLS,

     The insurance companies often don&#039;t deny claims accidentally while guarding their interests. They have people who are dedicated to the idea of denying legitimate claims based on anything they can come up with. This is fraud just as bad as anything you think happens in Medicare, just aimed at the customer. It is considered SOP on their part. Conservatives complain about fraud but have no real interest in doing anything about it. Missouri Republicans last year refused to pass a law to investigate fraud by providers but are really happy to go after patients. So much for worrying about defrauding the government.</description>
		<content:encoded><![CDATA[<p>DLS,</p>
<p>     The insurance companies often don&#8217;t deny claims accidentally while guarding their interests. They have people who are dedicated to the idea of denying legitimate claims based on anything they can come up with. This is fraud just as bad as anything you think happens in Medicare, just aimed at the customer. It is considered SOP on their part. Conservatives complain about fraud but have no real interest in doing anything about it. Missouri Republicans last year refused to pass a law to investigate fraud by providers but are really happy to go after patients. So much for worrying about defrauding the government.</p>
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		<title>By: DLS</title>
		<link>http://themoderatevoice.com/15497/health-care-crime/comment-page-1/#comment-100917</link>
		<dc:creator>DLS</dc:creator>
		<pubDate>Mon, 08 Oct 2007 22:44:11 +0000</pubDate>
		<guid isPermaLink="false">http://themoderatevoice.com/politics/domestic-programs/15497/health-care-crime/#comment-100917</guid>
		<description>&lt;blockquote&gt;I really canâ€™t see how medicare, or private insurance, matters a jot, at least fraud wise anyway. &lt;/blockquote&gt;

It&#039;s considered worse with Medicare because of the size of the program, its complexity, and the lure of easy money (whereas insurers are likely to second-guess claims and frequently deny legitimate claims, something I&#039;m seeing right now as an insured individual, in fact).

Not that that doesn&#039;t discourage people from advocating Medicare for all -- their reply is that yes, fraud is a problem, but they still claim large cost savings and a guarantee everyone gets medical care if we had Medicare for all.  Fraud can be addressed and remedied at the same time the program is expanded.</description>
		<content:encoded><![CDATA[<blockquote><p>I really canâ€™t see how medicare, or private insurance, matters a jot, at least fraud wise anyway. </p></blockquote>
<p>It&#8217;s considered worse with Medicare because of the size of the program, its complexity, and the lure of easy money (whereas insurers are likely to second-guess claims and frequently deny legitimate claims, something I&#8217;m seeing right now as an insured individual, in fact).</p>
<p>Not that that doesn&#8217;t discourage people from advocating Medicare for all &#8212; their reply is that yes, fraud is a problem, but they still claim large cost savings and a guarantee everyone gets medical care if we had Medicare for all.  Fraud can be addressed and remedied at the same time the program is expanded.</p>
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		<title>By: DaveA</title>
		<link>http://themoderatevoice.com/15497/health-care-crime/comment-page-1/#comment-100915</link>
		<dc:creator>DaveA</dc:creator>
		<pubDate>Mon, 08 Oct 2007 22:30:17 +0000</pubDate>
		<guid isPermaLink="false">http://themoderatevoice.com/politics/domestic-programs/15497/health-care-crime/#comment-100915</guid>
		<description>I agree medicare fraud is rampant.  I know when my grandmother was in a nursing home they charged for all sorts of stuff that never occured.  Heck we had bills from the home, and one from a hospital, for services supposedly rendered over a week after she had passed.  Talk about low.

However, fraud in general is rampant in the medical industry regardless of your insurer.   I worked for a private medical insurer and there was even fraud internally.  Imagine that.  No idea how much, as that was not data/area I really worked with in that regard, but I still learned of it from time to time.

I really can&#039;t see how medicare, or private insurance, matters a jot, at least fraud wise anyway.  Scamming one way or the other seems par for the course in the industry.</description>
		<content:encoded><![CDATA[<p>I agree medicare fraud is rampant.  I know when my grandmother was in a nursing home they charged for all sorts of stuff that never occured.  Heck we had bills from the home, and one from a hospital, for services supposedly rendered over a week after she had passed.  Talk about low.</p>
<p>However, fraud in general is rampant in the medical industry regardless of your insurer.   I worked for a private medical insurer and there was even fraud internally.  Imagine that.  No idea how much, as that was not data/area I really worked with in that regard, but I still learned of it from time to time.</p>
<p>I really can&#8217;t see how medicare, or private insurance, matters a jot, at least fraud wise anyway.  Scamming one way or the other seems par for the course in the industry.</p>
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		<title>By: DLS</title>
		<link>http://themoderatevoice.com/15497/health-care-crime/comment-page-1/#comment-100896</link>
		<dc:creator>DLS</dc:creator>
		<pubDate>Mon, 08 Oct 2007 20:35:44 +0000</pubDate>
		<guid isPermaLink="false">http://themoderatevoice.com/politics/domestic-programs/15497/health-care-crime/#comment-100896</guid>
		<description>&lt;blockquote&gt;The US is the only Western industrial country without a single payer system, that speaks much louder than anything about Medicare.&lt;/blockquote&gt;

Medicare &lt;strong&gt;is&lt;/strong&gt; a &quot;single-payer&quot; system, for the existing beneficiaries.  (Who is the payer?  Government, i.e., the taxpayers.) 

One of its problems is fraud.</description>
		<content:encoded><![CDATA[<blockquote><p>The US is the only Western industrial country without a single payer system, that speaks much louder than anything about Medicare.</p></blockquote>
<p>Medicare <strong>is</strong> a &#8220;single-payer&#8221; system, for the existing beneficiaries.  (Who is the payer?  Government, i.e., the taxpayers.) </p>
<p>One of its problems is fraud.</p>
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		<title>By: domajot</title>
		<link>http://themoderatevoice.com/15497/health-care-crime/comment-page-1/#comment-100887</link>
		<dc:creator>domajot</dc:creator>
		<pubDate>Mon, 08 Oct 2007 20:01:50 +0000</pubDate>
		<guid isPermaLink="false">http://themoderatevoice.com/politics/domestic-programs/15497/health-care-crime/#comment-100887</guid>
		<description>We have a problem with Private Military Firms in Iraq.  Are the same people clamoring for elimination of domestic federal programs also clamoring for the eilimination of PMFs?

We have a problem of waste and corruption in the awarding of gov. contracts to private contractors of all kinds.  Stop the practice?

DOD contracts have huge problems.  Plus, it has never set up a responsible bookkeeping system. Should we get rid of the DOD?.

I&#039;ll start taking  warnings about governmentt programs setiously when an equal aooportunity rule is adopted tor misdeeds in all progroms, government run and contracted.

Picking and choosing according to personal preferance is not acceptable.

The answer is, of course, oversight, transparency  and accountability. 
 Where money flows, there will always  be waste and corruption, unless proper safeguards are put in place.  It matters not one iota through which mechanism the money is passed. on.</description>
		<content:encoded><![CDATA[<p>We have a problem with Private Military Firms in Iraq.  Are the same people clamoring for elimination of domestic federal programs also clamoring for the eilimination of PMFs?</p>
<p>We have a problem of waste and corruption in the awarding of gov. contracts to private contractors of all kinds.  Stop the practice?</p>
<p>DOD contracts have huge problems.  Plus, it has never set up a responsible bookkeeping system. Should we get rid of the DOD?.</p>
<p>I&#8217;ll start taking  warnings about governmentt programs setiously when an equal aooportunity rule is adopted tor misdeeds in all progroms, government run and contracted.</p>
<p>Picking and choosing according to personal preferance is not acceptable.</p>
<p>The answer is, of course, oversight, transparency  and accountability.<br />
 Where money flows, there will always  be waste and corruption, unless proper safeguards are put in place.  It matters not one iota through which mechanism the money is passed. on.</p>
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		<title>By: Rudi</title>
		<link>http://themoderatevoice.com/15497/health-care-crime/comment-page-1/#comment-100882</link>
		<dc:creator>Rudi</dc:creator>
		<pubDate>Mon, 08 Oct 2007 19:45:41 +0000</pubDate>
		<guid isPermaLink="false">http://themoderatevoice.com/politics/domestic-programs/15497/health-care-crime/#comment-100882</guid>
		<description>Being from Michigan and talking to many people in Windsor Ontario I hear that a large majority in Canada love their system. The US is the only Western industrial country without a single payer system, that speaks much louder than anything about Medicare.</description>
		<content:encoded><![CDATA[<p>Being from Michigan and talking to many people in Windsor Ontario I hear that a large majority in Canada love their system. The US is the only Western industrial country without a single payer system, that speaks much louder than anything about Medicare.</p>
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		<title>By: DLS</title>
		<link>http://themoderatevoice.com/15497/health-care-crime/comment-page-1/#comment-100871</link>
		<dc:creator>DLS</dc:creator>
		<pubDate>Mon, 08 Oct 2007 19:06:43 +0000</pubDate>
		<guid isPermaLink="false">http://themoderatevoice.com/politics/domestic-programs/15497/health-care-crime/#comment-100871</guid>
		<description>Baseball, hot dogs, apple pie, and &quot;upcoding&quot;...

The problem will be much worse if children or the entire population get on Medicare.  You&#039;re warned.</description>
		<content:encoded><![CDATA[<p>Baseball, hot dogs, apple pie, and &#8220;upcoding&#8221;&#8230;</p>
<p>The problem will be much worse if children or the entire population get on Medicare.  You&#8217;re warned.</p>
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		<title>By: Rudi</title>
		<link>http://themoderatevoice.com/15497/health-care-crime/comment-page-1/#comment-100869</link>
		<dc:creator>Rudi</dc:creator>
		<pubDate>Mon, 08 Oct 2007 18:57:59 +0000</pubDate>
		<guid isPermaLink="false">http://themoderatevoice.com/politics/domestic-programs/15497/health-care-crime/#comment-100869</guid>
		<description>Let&#039;s not forget alot of needless surgery that pads the physicians pockets. Joint replacement and stints are cash cows, with many surgeries done for the doctors bottom line, not the patients health.</description>
		<content:encoded><![CDATA[<p>Let&#8217;s not forget alot of needless surgery that pads the physicians pockets. Joint replacement and stints are cash cows, with many surgeries done for the doctors bottom line, not the patients health.</p>
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