Thursday, October 31, 2013

ObamaCare implementation agency paid out $23 million on behalf of dead people


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The Hill

 By Jonathan Easley


The agency responsible for implementing ObamaCare erroneously paid out millions of dollars on behalf of dead people in 2011, according to a report released Thursday by the Office of the Inspector General (OIG).

The Centers for Medicare and Medicaid Services (CMS) paid $23 million to providers, suppliers, Medicare Advantage organizations and prescription drug plan sponsors on behalf of beneficiaries who died between 2009 and 2011, the OIG found.

That’s less than one-tenth of one percent of total Medicare expenditures, and the report says CMS “has safeguards to prevent and recover” those payments.

The OIG offered a handful of recommendations, such as taking action against providers and suppliers that had high numbers of claims with service dates after a beneficiary’s death, as a way to minimize further inappropriate payments.

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Medicare paid $23 million for dead patients in 2011 and $29 million for drug benefits for illegal immigrants from 2009 to 2011, according to a report Thursday from the Health and Human Services inspector general.
The investigators said Medicare has safeguards to try to stop payments to dead patients, but it still ended up sending out the $23 million anyway.
The Centers for Medicare and Medicaid Services (CMS) — the same agency that is struggling to fix the broken Obamacare website — acknowledged the problems and said it will try to take steps to fix them.
“We agree that in cases where the information indicates an individual is not lawfully present in the United States, that individual should not be permitted to enroll or to remain enrolled in a Part D plan during the period where he or she is not eligible to receive federal benefits,” Marilyn Tavenner, administrator of CMS, said in response to the report about illegal immigrants getting benefits.
The payouts aren’t large — they amount to just a fraction of a percent of what Medicare pays each year in benefits. Still, the investigators said the agency should take steps to crack down.
In one of its reports the inspector general said 4,139 illegal immigrants were able to make 279,056 drug benefit claims.

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Dead farmers reap millions in subsidies, GAO audit shows


The federal government is still paying out millions of dollars a year in subsidies to dead farmers, according to a government audit released Monday that said the Agriculture Department doesn’t do the routine checks required to make sure it is paying benefits to the right people.
The Government Accountability Office said one agency, the Natural Resources Conservation Service, made $10.6 million payments from 2008 to 2012 on behalf of more than 1,100 people who had been dead at least a year. Another arm of the department, the Risk Management Agency, paid out $22 million to more than 3,400 policyholders who had been dead at least two years.
Some of the payments may have been legal because they were for work completed before the farmers died, but the GAO said the problem is that the two agencies don’t perform routine checks — such as looking at the Social Security lists — to verify their information.
“Until and unless NRCS and RMA develop and implement procedures to have their payment or subsidy data records matched against SSA’s complete death master file, either through coordination with FSA or on their own, these agencies cannot know if they are providing payments to, or subsidies on behalf of, deceased individuals; how often they are providing such payments or subsidies; or in what amounts,” the investigators wrote.

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