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N.J. comptroller´s report
finds HMO´s fraud detection
efforts lax in Medicaid

Star-Ledger [Newark, NJ], by Susan K. Livio

Original Article

Posted By:Ribicon, 7/31/2013 11:33:23 AM

Trenton — An HMO that earned $1.7 billion from 2009 to 2010 by providing Medicaid coverage to 350,000 low-income and disabled New Jerseyans didn´t try very hard to detect fraudulent billing -- identifying only $1.6 million, or one-tenth of one percent in improper payouts, according to a report the Office of the State Comptroller released today. UnitedHealthcare Community Plan of New Jersey failed to hire enough investigators and train them properly, in violation of the managed care company´s contract with the state, according to the report. "With billions of tax dollars flowing through New Jersey’s Medicaid program, our state relies

Comments:
Private company that tolerates no fraud in its own business dealings suddenly turns a blind eye when the payouts come courtesy of the taxpayer. Why spend money to investigate fraud when there´s clear profit to be made on fraudulent payouts?

Same story, everywhere, when dealing with other people´s money.

      


Post Reply  

Reply 1 - Posted by: enuf8, 7/31/2013 1:25:06 PM     (No. 9451474)

Will Christi´s 400 +/- lbs be on top of this fraud immediately?

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Reply 2 - Posted by: JAN, 7/31/2013 1:34:03 PM     (No. 9451490)

Doubt our governor has been in NJ for months.

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