Would a National Health Care System in the US eliminate most fraud (see details)?
Right now, there is a lot of fraud for billing insurance companies, medicaid, and medicare for procedures that were not done or were not needed. Insurance companies spend 20-30% of their revenue making sure the procedures ordered are valid.
If all medical professionals were on a fair plan of compensation instead of making a profit from procedures that they billed the incentive to commit fraud or order unnecessary procedures would be totally eliminated, wouldn't it?
Then, evaluate them and compensate them on whether they are making their patients healthier or not.
Doesn't this make sense?
Vastright, I used medicaid and medicare in my example. The problem is in the way people are compensated. We use private doctors to run a government funded program and they abuse it. If they were salaried government workers they would have no what of profiting from cheating.
Medicaid and medicare are the most efficient health care programs we have. But they are still subject to abuse for the reasons I have given.
Tagged with: fraud • government workers • health care programs • insurance • insurance companies • medicaid • medical professionals • medicare • private doctors • unnecessary procedures
Filed under: Medical Fraud
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yes
I would think so since this would be a tax based system. You would have more people investigating it to make sure our tax dollars aren't being misused.
Yes
But when has that had anything to do with the way the US government was run?
How much does the Army pay for a hammer again?
Well it's a fine idea, but greed is everywhere and people will commit fraud against the state instead of the insurance company.
No, look at medicare and medicaid. Or look at NHS across the world. It clearly does not eliminate or even lessen problems with fraud. In fact, in many cases, problems with fraud actually increase.
it wouldn't happen… there would still be massive fraud and easier to hide with either of the proposals out there… leaving the bill… you guessed it… in the pocket of MR and MRS taxpayer… all the current propsals do is lower quality/quantity of care and make insurance companies richer
No, if medicaid and medicare are abused…how is it that a national health plan is NOT going to be abused? Sorry, but IMO that's wishful thinking on your part.
Yes Bigger Government, because there is never any Freud, Waste and Abuse in our Government, and they do everything so much more effeciently then the private sector.
Of course anything our government is involved in is spotlessly clean of any fraud, right???
Are we talking about the same government, that has never been able to run any program to any level of proficiency.
Keep the government out of healthcare, far more money will be wasted by adding another layer of administration and what procedures would be authorized for who would become part of the political discussion.
Government money wasted is our money wasted, there is no difference between the government paying for something and us paying for something except it is away for pols to pander to different special interest groups by deciding who should pay the lions share of the costs without regard to use of the services.