9 States, D.C. Made Up Lion’s Share Of Medicare Waste In 2015
This is the second consecutive year that the District of Columbia has topped all states in Medicare waste per beneficiary. In other news, Medicare officials warn Pennsylvania health plans that they could face fines if they don’t fix their directories.
Despite stepped up efforts to crack down on Medicare fraud and wasteful spending, the federal government lost at least $43 billion in fiscal 2015 to health care providers who filed improper or bogus claims to the program, according to a new study. Nine states and the District of Columbia were responsible for the lion’s share of the total improper payments, according to a new study by the Council for Medicare Integrity, a non-profit government watchdog. The states include Texas with $50.2 million in improper payments, California with $47.8 million, New Jersey with $22.6 million and Pennsylvania $22.1 with million. (Pianin, 1/19)