Monday, January 11, 2010

Outright fraud committed on Medicare computer systems

NBC Nightly News (Monday Jan. 11) ran a story on Medicare fraud which is a different variation on what was reported before; instead of selling fake services, crooks simply create bogus claims out of nothing by manipulating security weaknesses in carrier Medicare processing systems.

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I worked on the design of a Combined Medicare System in the early 1980s, a consortium of Blue plans, and the project fell apart because of political turf feuding. I wonder if turf battles today hurt Medicare system security.

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