Monday, February 1, 2010

DHHS Secretary Calls To End Medicaid Fraud

FY 2011 Budget Press Conference Opening Remarks by Department of Health and Human Services Secretary Kathleen Sebelius


Fighting Waste and Fraud

We’re also guided by a constant vigilance about using taxpayer dollars wisely.  At a time when many families are scraping together every last dollar to pay their medical bills, fraud, waste, and abuse in our health care system are unacceptable.
That’s why our budget contains a historic investment in cracking down on the health care fraudsters who steal from taxpayers, endanger patients, and jeopardize Medicaid and Medicare’s future.

This investment will allow us to build on efforts that began last May, when President Obama instructed Attorney General Holder and me to create a new Health Care Fraud Prevention and Action Task Force, known as HEAT for short.
HEAT is an unprecedented partnership that brings together high-level leaders from both departments so that we can share information, spot trends, coordinate strategy, and develop new fraud prevention and prosecution tools.

For example, we have new systems that allow us to identify likely fraud by analyzing suspicious patterns in claims data.  This budget sends a clear message to those who commit fraud: stop stealing from seniors and taxpayers, or we’ll put you behind bars...more

Just to reiterate about the pervasively pernicious Medicaid Fraud in Child Welfare, it's called Targeted Case Management.

Targeted Case Management Guidelines to State Medical Directors  

This budget sends a clear message to those who commit fraud: stop stealing from children and taxpayers, or we’ll put you behind bars.

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