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80 Comments
- PhrosTT, on 06/26/2009, -0/+34pretty sure the scam is much bigger than $50m.
I have "good" BCBS insurance and am still paying out the ass for a surgery in february. - Gumphlumph, on 06/26/2009, -3/+34The article says the fraud is costing billions every year - close the holes and there's the funding for the new public health insurance.
- emptyo, on 06/26/2009, -1/+24Finally. Thank ***** God.
I went through hell and back in Florida and Colorado. They were almost literally printing money with the scams they had going with the elderly. It was like living Michael Moore's Sicko.
If you have anyone elderly that you need to be well taken care of, don't let them live in Florida. - IamJustinM, on 06/26/2009, -5/+25More proof that the healthcare system needs to be completely overhauled. Anyone who thinks our health care system is just fine or "still the best in the world" is just lying or worse.
- Murrabbit, on 06/26/2009, -7/+24Isn't the whole private health insurance industry really just one big scam when you get down to it? You pray to God that they'll let you pay them a monthly fee to be penned in to their tiny list of approved doctors and hospitals, and then when something really goes wrong they have a team of highly payed professionals looking for clever ways to tell you to ***** off and die.
- mrblaack, on 06/26/2009, -0/+15February? shiiiiiiiitt, had surgery 3 years ago and I'm still paying, and yes it was 'covered' under my 'good' policy.
- feezus, on 06/26/2009, -0/+15Note to self:
Quit scam and move to Fiji after the first $10 million.
If you've made $50m, you're probably only days from getting busted. - Trey9128, on 06/26/2009, -0/+14Insurance companies are all about deny, deny, deny. Then their top executives, who make tens of millions of dollars a year, yet never actually provide any heatlh care, testify before Congress about how they are working hard to control costs, make health care more affordable, blah, blah, blah. Their act is wearing thin.
- franrey, on 06/26/2009, -0/+13Why the hell do foreign news agencies keep scooping CNN, FOX, NYTimes on news in their own country.
- Fleagleman, on 06/26/2009, -7/+20Somehow, this will become a chance to blame Obama.
- scamper22, on 06/26/2009, -3/+16no,that is the system that is flawed.
When you're not paying out of your own money for a service, then you don't care. The doctors and health providers don't care as they're not ripping you as a person off.
They're only ripping off some abstract entity. Especially considering the 3rd party is the government which doesn;t exactly care how it spends money... it is a recipe for scams, ripoffs, and exploitation. - Trey9128, on 06/26/2009, -1/+13Uh, this fraud involves Medicare, the government health program and pyramid scheme that bankrupted American health care. Fraud occurs in private health care, government health care, or anywhere else. Anyone who thinks that socialized medicine will mean the end of fraudulent behavior is, quite honestly, an idiot.
- Ymeg, on 06/26/2009, -1/+12This was a scam. That is like saying Madoff's ponzi scheme represents all investment companies.
- inactive, on 06/26/2009, -0/+10its similar to the gun debate, "guns dont kill, people with guns do". doctors involved in this kind of fraud should be banned from practicing medicine.
- kaelyiesta, on 06/26/2009, -0/+8Agreed. 50 million is nothing. Just look at the amount of money that insurance companies lobbyists throw at our government to get an idea of how much is really at stake. If the FBI wants to make some meaningful arrests, it should look to congress.
- xero69, on 06/26/2009, -0/+7Best news I've read all day. I hope they lock up these crooks in a dark damp cell with a cellmate named Bubba who beats them if they don't pee sitting down.
- Khast, on 06/26/2009, -0/+7I wouldn't call it lying... I would call it uneducated, or naive. We have a lot of things in our healthcare system which needs vast improvement.
- 1hrSleep, on 06/26/2009, -0/+6I've had multiple surgeries throughout my life and I'm still pa- oh, wait... I live in Canada. Seriously though, those surgeries were free.
- nathanbutnet, on 06/26/2009, -0/+6Ha, damn good point franrey. Frankly the best reporting I have seen from Americans these days has been PBS with their Frontline episode called 'Breaking the Bank'.
I suppose if it is not just some sort of celeb-gossip our american 'journalists' have a hard time wrapping their head around it. The scaled down newsrooms just need ***** force fed to them. - s73v3r, on 06/26/2009, -0/+5Better idea:
After the first $10 million, sell the scam to someone else and move to Fiji. - creoderiot, on 06/26/2009, -0/+5Cigna denied to cover ANY of my surgery costs even though I sent them a detailed letter highlighting the places in my policy where it stated clearly that these procedures were covered. I contacted the CA department of insurance who replied that since this was a dispute between me and my insurance company that they couldn't get involved. What f'ing good are they then? Never got any reply from the one watchdog group I could find. And what the hell was i paying for a PPO if they are not going to cover my costs anyway? Might as well just gone with HMO. I quit my job and got a new one with different health coverage. Not that any of them are much good.
- jacksecret, on 06/26/2009, -0/+4Oh is that the scam where CEO's go back and forth from Monsanto and big pharma to the FDA?
- pacerx, on 06/26/2009, -1/+5Preemptive argumentation is dumb. I'm Canadian and love having UHC but there's no point in pre-arguing against points that might not even get made.
- collution, on 06/26/2009, -2/+6Some people will try and make any and everything into a partisan issue.
- trejrco, on 06/26/2009, -2/+6Comments:
"just fine" or "still the best in the world" - logically flawed, it could very well be the best in the world but still require major overhaul. Not stating any opinion here really, just pointing out that this part of your comment is incomplete.
"just lying or worse" - major assumption there, and note that when debating a topic you should attack the position - not the person. - inactive, on 06/26/2009, -0/+4I was wondering why my co-payment was $50,000.
- trizzleatl, on 06/26/2009, -0/+4This happens all the time. Every year there's stories of doctors getting busted for this very same thing.
- sithguy, on 06/27/2009, -0/+4How long did you have to wait?
- casek, on 06/27/2009, -0/+3good job, fbi. now if we can get you to investigate some other scams.....the first one is about a war in iraq.
you solve that and make some convictions, then we can talk about letting you solve some other cases. - vroom101, on 06/26/2009, -0/+3Detailed, full story . . .
"Feds: Miami-based Medicare fraud ring busted" by Jay Weaver: http://www.miamiherald.com/457/story/1110959.html - snotrokit, on 06/27/2009, -0/+3they are way too busy covering Jacko's death and the breakup of John and Kate to be concerned with what you and I call news.
- trejrco, on 06/26/2009, -1/+4No, but depending on how you listen to it is either a pro-Obamacare or anti-Obamacare endorsement.
Isn't "politics" fun?? - trejrco, on 06/26/2009, -0/+3Only 250hp? No way ...
- chriswastaken, on 10/27/2009, -13/+16To all conservatives against public option healthcare:
Realize that scams like this are created by those who take advantage of others. It's not the system that's flawed, it's the people who can turn $50,000 to $55,000 and do it to the elderly. - asgardshill, on 06/26/2009, -0/+2I'd settle for $4m myself. I'm not greedy, I thrive on a beer budget with the occasional champagne brunch, and just the interest on that sum would be more than enough to comfortably cover my expenses for the rest of my life.
- milkmit, on 06/26/2009, -0/+2Surprise surprise.
- mark925, on 06/26/2009, -2/+4Just waiting for Faux News to blame him for this.....
- gopfan, on 06/27/2009, -2/+4I thought that too when I read the headline. But this is medicare, fix the fraud there first.
If you think health care is expensive now, wait until it's free. - jftitan, on 06/27/2009, -0/+2@creoderiot
The industry was setup to be nothing but loopholes, and the politician, and lobbyists worded contracts accordingly just to cause this kind of grief. I feel bad for ya. Because I was a military dependent for most of my early years, and now I have no coverage because every one of these insurance companies have excuses for why and how.
Its not worth having, and not worth not having at the same time. The hassles alone, cause many people to goto the hospital. - 380ppm, on 06/27/2009, -0/+2hes right. by the end result of this "health care crisis" will be a government coerced cartel of large insurers. In the end, regulation protects the status quo and prevents competition in the market place. You will not see a government-run health care, but a government supported health-care in which private insurers are protected from competition and whos services are required, thereby increasing their profits because individuals and small businesses will be forced to contract their services. America has no free market economy, it is a corporatist/command economy where government uses its power and influence through regulation to the benefits of large corporations to protect market share/prevent new entrants into the marketplace. Anyone who thinks that the "crisis" was a failure in free market economics, is a complete tool of this state.
- inactive, on 06/27/2009, -0/+2Since this has devolved into the old "Obama's Health Care" fiasco...
The less money the masses have to spend on health care, the more money they can put into goods and services...which in turn, equals more jobs and a better quality of life. - kaelyiesta, on 06/26/2009, -0/+2The scam is that it isn't private. It's fascistic, at least in this country.
- bshock, on 06/27/2009, -0/+1I'm much more concerned about the billion-dollar scams being perpetrated by supposedly legitimate healthcare companies, health insurance companies, and pharmaceutical companies. There are a lot of CEOs out there who need serious prison time.
- notadiggtard, on 06/27/2009, -0/+1At first I thought it was about the one Obama's trying to ram down our throats before we have a chance to see what's in ti.
- creoderiot, on 06/26/2009, -0/+1The billing department at the surgery center were told by Cigna they were not covering the surgery due to permit #'s the center couldn't provide. These were permits the center was not required to have. The argument lasted 2 years until the billing department and I gave up and came to a resolution.
- jftitan, on 06/27/2009, -0/+1even better...
Appoint someone to be CEO and CIO, and give the sole responsibility of your company to someone else. Once you've made your first $10 million, then retire, knowing the next dumbass in charge will have to deal with the books. You setup the company, but placed others responsible.
You retire scott free. - avianeddy, on 06/29/2009, -0/+1Now there's something I think we ALL can agree on.
- 1hrSleep, on 06/27/2009, -0/+1=P I'm not really sure about the "wait". They were scheduled throughout specific points of my life so I can't be too sure.
I still have one to go though and this one's taking forever. I spoke with that plastic surgeon like... Two years ago now. Haven't heard a thing since. - avianeddy, on 06/29/2009, -0/+1OMG you said SOCIALISM... I'm suddenly scared!
be careful everybody, the big scary government's gonna SOCIALIZE your healthcare just like they did your Postal Service and Fire Department... GASP!!! - 1o23r, on 06/27/2009, -0/+1agreed...
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