Government

Medicare Spent $359 Million on Unnecessary Chiropractic Care in 2013

More than 80% of the money that Medicare paid to chiropractors in 2013 went for medically unnecessary procedures, a new federal audit found. The federal insurance program for senior citizens spent roughly $359 million on unnecessary chiropractic care that year for treatment of strains, sprains or joint conditions, a review by the Department of Health and Human Services’ Office of Inspector General found.

The OIG called on the Centers for Medicare and Medicaid Services to tighten oversight of the payments, noting its analysis was one of several in recent years to find questionable Medicare spending on chiropractic care. “Unless CMS implements strong controls, it is likely to continue to make improper payments to chiropractors,” the OIG said.

Source: Medicare Spent $359 Million on Unnecessary Chiropractic Care in 2013, Audit Finds – WSJ

If you are surprised by the above, you shouldn’t be. This is just one of many similar reports on Medicare’s administration going back decades. Many of the audits also uncovered massive fraud gone undetected for years.

old man with xrayMedicare follows a pay and pursue (occasionally) policy processing claims and operates under strict bureaucratic guidelines. Try calling about a claim and discuss you concerns with the contractor processing claims; you aren’t allowed to speak with them.

Medicare should be doing what politicians criticize private insurers for doing; managing claims, questioning medical necessity, pre-approving certain services. Medicare attempts to control its costs (unsuccessfully) by controlling fees which is only half the equation.

Medicare is a political animal fearing the wrath of older voters. Every government-run system faces the same shortcomings. However, the more experienced systems have become comfortable with various forms of service control and rationing. 

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1 reply »

  1. .

    Medicare B premiums for many will have big increases in 2017… creating an even bigger divergence in Medicare premiums among those on Social Security. For example, those who turned 65 and on Medicare for the first time in 2016 already pay a lot more than those who came on Medicare before 2016. And those newcomers who turn 65 and go on Medicare in 2017 will pay even more than the newcomers in 2016.

    As one article says at link below… it’s a mess… soon to become a bigger mess.

    See news article references at link

    http://www.early-retirement.org/forums/f28/ss-cola-and-medicare-b-premiums-83768.html

    .

    Like

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