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It is time for Law Enforcement to actually enforce the law. The fraud in Medicaid and Medicare is out of control.
It is out of control not only because apparently it is an easy target for criminals but it funds corruption members of the Political and Judicial elite – and extensive vote fraud.
Let’s be specific – Why did Jerome Larkin (and the Illinois Supreme Court) view attorney JoAnne Denison’s call for an Honest investigation of the Mary Sykes case and her exposure of Judicial Corruption to be the functional equivalent of “yelling fire in a crowded theater?” We all know that pursuant to ABA Rule 8.3 and 18 USCA 4 attorneys are required to report felonies by other attorneys (such as Judges) and public servants. Thus, how can the administrator of the Illinois Attorney Disciplinary Commission condone the metaphor? How can the Supreme Court of Illinois not disbar Mr. Larkin and the IARDC staff attorneys promulgating a defense of FRAUD AGAINST THE UNITED STATES OF AMERICA? How can the American Bar Association not be up in arms?
You have two guesses and the first 95 do not count!
Without immediate enforcement of the RULE OF LAW and the reining in of the fraud in the health care system, there can be no effective health care – plus the fiscal health of America is in serious jeopardy.
Ken Ditkowsky From Joanne: The exposure of Fraud in the Cook County Court system has resulted in the suspension for 3 to 4 years of THREE attorneys so far, which includes Ken Ditkowsky for FOUR years and attorney Lanre Amu for four years (despite the fact a Crains Chicago Business investigation determined Mr. Amu was speaking the Truth, that did not stop either the Illinois ARDC or the Supreme Court from suspending him for 4 years to make a point–never, never disrupt the criminal money flow in Illinois–Al Capone says so) How does this happen that the ARDC and the Supreme Court of Illinois all insist that black is white and colors are really grey and they get away with it? Judge Connors at page 91 of her deposition admitted that if she acknowledged the Mary Sykes case had no jurisdiction (Mary Sykes 09 P 4585, go ahead and look at up at Sheriff Dart’s Civil Process website), she would just dismiss the case, have it filed again and come to the same conclusion!! Judges cannot do that. They have to make determinations based upon the evidence put in front of them, not on past history of the case. In addition, she implies that she can order a case to be refiled. No judge can do that. Despite this statement, she still sits on the First District Court of Appeals. In a recent case I found today, Ponzio v. Buscaglio http://www.cookcountycourt.org/Portals/0/Law%20Divison/Apps%20Decs/Ponzio16May16.pdf she makes the right decision to dismiss a defamation suit involving a nasty campaign brochure, but when the defendant asserted a SLAPP claim for attorneys fees, that was denied because “the action did not arise out of a desire to chill public participation in the government process.” WTF? Is she kidding. A campaign brochure and filing a defamation suit against the producer of the brochure is squarely falls under the rights of Citizens to Participate in government without the fear of 1st amendment chilling lawsuits, such as defamation. So what did Connors do? Mark the opinion “Rule 23” thereby prohibiting others from citing it–which is clearly another First Amendment Right being attacked. People should be able to cite whatever case law they want. That’s preposterous. Who is Connors, et al. protecting there? What kind of favors and deals were made to get THAT idiotic decision? The Illinois Citizens Participation Act is one of the most important recent rights granted to Illinois citizens and I guess corrupt judges at the Illinois Court of Appeals have no problems wiping those off the books at will. See http://www.smsm.com/media/publication/99_IsIllinoisSupremeCourtRule23_e_sDenial.pdf
Joanne |
Improper Medicaid Payments Skyrocket over $36 BILLION
libertyheadlines.com/improper-medicaid-payments-skyrocket-over-36-billion/April 16, 2018
‘Eventually this all adds up to real money…’
(Kaylee McGhee, Liberty Headlines)Improper payments made by the federal Medicaid program climbed from $29 billion in 2015 to more than $36 billion in 2017, according to the Department of Health and Human Services.
The House Oversight and Government Reform Committee held a hearing on April 12thto address the spike, which ended up being a 26 percent increase.
“Despite efforts to reduce improper payments in the Medicaid program by the Centers for Medicare & Medicaid Services, which oversees the program, overall improper payments continue to increase—rising to about $37 billion in fiscal year 2017 compared to $29.1 billion in fiscal year 2015,” GAO Health Care Director Carolyn Yocom told the House Oversight and Government Reform Committee during her testimony. “The size and complexity of Medicaid make the program particularly vulnerable to improper payments—including payments made for people not eligible for Medicaid or made for services not actually provided.”
Yocom said that due to concerns about inadequate oversight, Medicaid has been on the GAO’s high-risk list since 2003.
Improper payments, according to the GAO, are “any payments that should not have been made or that was made in an incorrect amount, including overpayments and underpayments, under statutory, contractual, administrative, or other legally applicable requirements.”
“It includes any payment to an ineligible recipient, any payment for an ineligible service, any duplicative payment, payment for services not received (except where authorized by law), and any payment that does not account for credit for applicable discounts,” GAO says.
During the hearing, Rep. Jamie Raskin, D-Md., said 10.1 percent of payments were improper in the 2017 fiscal year.
The HHS annual financial reports confirmed this: There was a $7,581,450,00 increase over two years. In fiscal 2017, HHS reports that there were $36,447,950,000 in overpayments and $283,180,000 in underpayments.
Rep. Mark Meadows, R-NC, said improper payments are a problem that “encompass the entire federal government.”
“Eventually this all adds up to real money,” he said during the hearing. “There are trillions of tax payer dollars that are unaccounted for — all for one federal program.”
But as recently as November 2017, the federal Centers of Medicare and Medicaid Services reported that the rate of improper payments was the lowest it had been since 2013, accounting for less than 10 percent of overall Medicare and Medicaid payments.
The CMS estimated that improper payments dropped $4.9 billion from 2016 to 2017, dropping from 11 percent to 9.5 percent in one year.
It was the first time since 2013 that the Medicare fee-for-service improper payment rate was below 10 percent, according to the agency.
CMS attributed this drop to its increased efforts to crack down on fraudulent payments, saying it had developed a multifaceted strategy, including a targeted claims auditing process that focuses on high-risk providers.
“We still have work to do,” Kimberly Brandt, principal deputy administrator for operations, said in a statement. “We remain committed to collaborating across CMS and with stakeholders to address potential vulnerabilities and continuing to strengthen our program integrity efforts, while minimizing burden for our partners.”
But Meadows said during the hearing that improper payments remain a big problem and that the amount of fraudulent payments only continues to grow.
“I’m one who believes that not every improper payment is necessarily the result of a bad actor,” Meadows said. “But 20 years later since the start of Medicare and this is still a problem.”
Meadows said the HHS accounts for the largest amount of improper payments, and that one of they keys to solving this ongoing problem is “restoring departmental integrity by having complete, accurate, and timely data.”
Raskin agreed, saying the federal agencies need to work with the states to create an efficient solution.
“All 50 states’ Medicaid agencies, along with the federal centers of Medicare and Medicaid services, must work together to lower the rate of improper payments, not only in the interest of preserving our tax dollars, but also because fraud and inefficiency threaten the stability of Medicaid and deprive enrollees of the benefits that they rightfully rely on,” he said.
Meadows said improper payments need to be tackled because the problem directly effects the taxpayers.
“It is the people’s money,” he said. “And sometimes we forget that it’s people that pay their taxes each and every day.”
e of improper payments, not only in the interest of preserving our tax dollars, but also because fraud and inefficiency threaten the stability of Medicaid and deprive enrollees of the benefits that they rightfully rely on,” he said.
Meadows said improper payments need to be tackled because the problem directly effects the taxpayers.
“It is the people’s money,” he said. “And sometimes we forget that it’s people that pay their taxes each and every day.”
MaryGSykes.com 
Reblogged this on Justice for Everyone Blog.