Mar 30 2010
The Associated Press/Lansing State Journal: "Profits came quickly: Over one year, Daisy Martinez ripped off Medicare for $10.7 million at three clinics, and her daughter got $649,000 in just four months as they billed the government for sham drug treatments while luring desperate people off the street with cash, food and painkillers. Martinez, 51, was sentenced Thursday to eight years in federal prison by U.S. District Judge Gerald Rosen, who said he was 'just appalled' by the evidence. ... Court records describe a seemingly simple scheme in which Martinez migrated from the Miami area to cash in on the government's rich reimbursements for certain drug treatments given to Medicare beneficiaries. She moved to Michigan after authorities cracked down on similar scams in Florida" (White, 3/29).
The New York Post: "Dentists are using hawkers on the streets of Harlem to lure Medicaid cardholders to their clinics with promises of cash, The Post has learned. The practice is illegal and often a sign of fraud, according to the New York State Office of the Medicaid Inspector General, which oversees the state's cash-strapped public insurance fund. The hawkers unwittingly gave two Post reporters an inside peek at their operations. 'Dentist, dentist, dentist! Get paid $20 to $40! Medicaid!' barked Victor Sotille on the corner of 123rd Street and Lexington Avenue on Friday. ... Sotille told a Post reporter that if he has a Medicaid card, he'll receive $20 cash if he sits for a dental cleaning and $40 for partial denture work" (Montero, Fasick and Bennett, 3/29).
 This article was reprinted from khn.org with permission from the Henry J. Kaiser Family Foundation. Kaiser Health News, an editorially independent news service, is a program of the Kaiser Family Foundation, a nonpartisan health care policy research organization unaffiliated with Kaiser Permanente.
|
Medicare’s push to improve chronic care attracts businesses, but not many doctors