This not only applies to Medicare & Medicaid Providers, but can be applied to ALL other Services, to the People, which the Federal, State and/or Local Governments, reimburse, partially or completely, via Contracts any Medicare and/or Medicaid Provider (or any other business), which via Contracts with ANY level of Government the Providers of Service(s) intentionally or not, commit a contractual breach of Contractual Terms, paid for by US Taxpayers, which comprise of Waste, Fraud and/or Abuse per Investigations.
To bottom line this. Would it not be interesting, that throughout the USA, Medicare & Medicaid Providers, ALL States & Territories, DO NOT even require a few thousand dollars of Performance Bonds, for any size Medicare or Medicaid Provider?
Tie that into requirements of anyone to be a Medicare or Medicaid Provider? (You can also tie this into ANY other Business’/Industries categories that have Service Contracts with the Government, paid by USA Tax Dollars…)
Now add some other additional issues, of Foreigners (Sponsored by Other Countries & not such as via Organized Crime) whom come into the USA on approved “Green Cards,” to start new business’ (Medicare, Medicaid, ANY OTHER BUSINESS industries, such as 7-11, restaurants, any type of business), where for the first 5 years, they do NOT have to pay Federal Taxes, take jobs away from Americans, then the 5 year grace period of no Federal Taxes, the ownership of this Green Card Business, is then transferred to a new Relative, coming from abroad, which meant/means, under new ownership, a new 5 year period of not having to pay for Federal Taxes continues?
With Medicare & Medicaid, such as, the new business is started, (We call it slam bam, then bye), they are a brand new provider, start billing like crazy, then disappear, before the government can stop it, etc.
Services not rendered, partially rendered, no records, no one can find the office, etc.
Lots of other things.
Let’s talk about the DO"J" & OIG at the Federal and State Levels, when Medicare & Medicaid Fraud, Waste and/or abuse is reported and referred. What happens, when no records provided cases are referred, does the DOJ & OIG do anything, do they “lose” the case files, sit for up to and over 10 years, which means the cases are then past the 10 year statutory limit to investigate, then if any simple stupid referral is made, these type of Providers continue to bill,.
Then let’s talk about, across the USA, how if any Medicare &/or Medicaid Fraud/Waste/Abuse cases actually get dealt with (how many do they actually do - hmmn after the hard work is done by others for these agencies), will the DOJ and OIG actually settle for PENNIES on the dollar? Let alone investigate these criminals alone. Might want to follow the $ with Political Donations, and Entities that support Politicians, directly and BY PROXY, etc.
How via Medicaid, which the Fed’s still pay for most of every Medicaid dollar with each State, Politicians & the F & D $ minions that control them, will tell Investigators to STOP investigating Waste, Fraud & Abuse of their “friends.”
How the same above happens, with County Health Care Services, allowed through Medical “Policy” of the Government, where County Health Care Services, managed by the over 3,500 Counties of the USA/its Territories, are approved Services to THEMSELVES, and getting paid to monitor, manage, services to PRIVATE health care providers, AND TO the Services they provide to themselves. Do you NOT think, the counties, especially in rural and semi-rural counties, have a FOOTHOLD & CONTROL of the Health Care Services, keeping CONTROL against PRIVATE health care companies, SO THEY CAN APPROVE THE SERVICES TO THEMSELVES? Yes, that is happening.
I could go on and on (& Many like Myself, past to present).
Now, the kicker is (as one of many examples for discussion) how many States & Federal Government actually require any type of Performance Bonds or ability to go after Fixed assets of Medicaid Providers alone who screw over the Taxpayers?
Well, I can say, in many States, THERE ARE NO PERFORMANCE BONDS required, as a protection of US Taxpayers, whom fund all this stuff, so anyone, American or Green Card or Foreign Citizens via Owners/Corporate Officers, LLC’s & BY PROXY, etc. Unless there have been “sudden” improvements as of lately, doubtful.
Another kicker, which applies TO ALL 50 States/US Territory Medicaid Programs. Well, since the Federal Government, pays most of every Medicaid Dollar spent in each State/Territory, if the Waste/Fraud/Abuse Occurs by Medicaid Providers, and these Provider owe money back via Investigative Findings, if the Provider disappears, or don’t have the money, that’s when politics comes into play, cuz the State Medicaid Programs, will have to reimburse the Federal Government back, since the Providers, gone or still around, don’t have the money to pay back for their sins… Oh yes, that goes on too.
Via above, “IF” big dollar investigations are “allowed” to start or continue by the Politicians and Political Appointees that run things, ALL LEVELS of GOV, ya see, if a Medicaid Provider owes money, any amount, they have disappeared, complain to their Politician friends, don’t have the money, well, as I said above, the State has to reimburse the Feds back, since the Feds pay for most of each Medicaid dollar. Do you NOT think, cases are suddenly closed, thrown out, wiped off Case Investigations Databases, STOPPED, and the Feds not told by State Politicians and their Political Appointees that run the State Medicaid Programs? Think about it.
Cuz, ya see, the State Medicaid Programs have to BUDGET their annual Medicaid expenses (by the Politicians), and if the State has NOT budgeted to have to reimburse the Federal Government back, for bad Providers, where do they get the money? This goes on, also, perhaps, that is WHY the State DOJ Offices settle for PENNIES on the dollar, for the few cases they actually go after, or are suddenly “requested” to get involved to handle the situation. Ya know, cover-ups, of many different kinds.
I could go on and on. But this is a good start for discussion.
I hope this makes sense. LOTS OF BAD THINGS GOING ON, not only against patients, but against the Taxpayers whom pay for this…
Over the decades folks, this involves TRILLIONS of USA Taxpayer Dollars. Lost.
Thank you.