Healthcare IT Today October 23, 2024
The following is a guest article by David Lareau, CEO at Medicomp Systems
A couple of years ago, we predicted an impending “explosion” of Medicare Advantage (MA) fraud and penalties. That prediction has now become an alarming reality, with recent investigations uncovering a troubling trend that’s costing taxpayers billions.
The Wall Street Journal’s exposé revealed a staggering $50 billion pocketed by insurers from Medicare for diseases that no doctor actually treated. This isn’t just a matter of paperwork errors; it’s a systemic issue that threatens the very sustainability of our healthcare system and directly impacts people’s lives.
The Rise of “Instafraud”
Perhaps most concerning is the emergence of what industry insiders are calling “Instafraud” – a practice where artificial intelligence,...
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