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-- it that it would be based on Medicare which reportedly loses anywhere from sixty to eighty billion dollars a year from fraud and waste.
And while the public option has been stripped out of the current version of the senate bill.
Any new government agency will need to be scrutinized to make sure that another culture of health care corruption does not develop.
This is why the Medicare fraud task force a joint operation between the department of health and human services and the Justice Department is more critical now.
Than ever just today.
The task force announced arrests of 32 people in Miami Detroit and New York accused of 61 million dollars in Medicare fraud billing scheme.
-- -- as deputy inspector general for investigations at the Department of Health and Human Services he joins us now from Washington first of all congratulation.
Congratulations on this -- is this just the beginning of -- whole series of new bots that are coming.
Thanks David good be with you.
It is the beginning we're gonna continue -- And identifying additional cities.
Using data analysis and working with -- law enforcement partners.
To expand the type of work we're doing we've been extremely successful in -- tracking these criminals down.
And we've been very effective in our data mining efforts and crossed validating the data mining.
With the intelligence we have in the field coming from our agents it's been very successful now we're looking at one of the medical supplies for its register you know our audiences on the -- -- your screen.
These are the kind of front office is that whether it would have spread out all over the United States.
There is a charge against the Centers for Medicare & Medicaid Services coming out today.
Reported by the Associated Press the information was provided to them.
By US senator Charles Grassley office suggesting that the senators had thirty warnings of these front operations that they didn't act upon.
Is that simply because they didn't have enough personnel.
I think it's a combination of things funding -- caffeine may be part of it.
But I think what we have to do is change our whole strategy.
And our whole our culture on how we look at fraud.
It's it's a -- chase.
Type of pot method.
What we have to do is we have to become better and we do work hand in hand with the Centers for Medicare & Medicaid Services.
But what we -- to do is devise a strategy of not only enforcement but prevention and enforcement through prevention.
And we have to -- it ensure that these types of criminals that set up these bogus storefronts.
Are more closely vetted before they can get a provider number and starts billing and billing and billing and because it's -- the cut is costing the taxpayers.
Over sixty billion dollars a year of fraud last year we were recovered four billion.
Now to our investigations.
But it's just the tip of the iceberg adolescent temper -- thank god you're out there doing what you're doing I applaud the actions -- should take but again.
It's I think it's almost an impossible job pitcher -- to do particularly now because organized crime is getting into it right.
Absolutely we've seen more involvement in organized crime the nature of health care fraud is becoming more more.
Complex this isn't your father's white collar fraud anymore.
What we're fighting -- street gangs.
Organized criminal groups getting involved to our our agents aren't are taking machine guns.
Out of our facilities now rather than just.
Taking up paper we work jointly with the law enforcement partners the FBI and the strike force model.
Has been very very successful because it each strike force team.
We have a dedicated federal prosecutor.
And that really expedite the process to get these people behind bars -- I remember there was a task force back in the eighties an anti drug task force it was very successful operating in Miami they essentially busted Miami Vice.
I mean -- did the drug dealers had to move elsewhere because they were so successful.
But it just getting less than 10% of all the fraud and waste that's out there.
Do you think that you're gonna push it beyond you have an ultimate goal.
Well our goal is to shift our strategy of one of suppression rather than just -- whack a mall.
And going after particular building strategies.
We are going after civil.
Criminal across the board we've got the support of -- the attorney general and secretary civilians that they have made this a priority.
Which Saddam really is a morale booster for our agents that because that's what we do on a day to day basis is health care fraud.
And we're good at it we have the best that's out there when it comes time to chasing these people and track him down working with our law enforcement partners with the FBI.
But you know it's a daunting task all right final finally from Steve Forbes I mean the fact is these guys are doing great work they're doing -- -- -- trying to crackdown and is particularly since organized crime is involved now but.
Is it an impossible task if you -- Doesn't it.
Sort of avoid the cause of this problem which is the government involved -- that means bureaucrats get in the way of the payment between doctor patient.
Yeah they've been studies including from -- institution.
Finding that when patients who feel they have a real relationship with the doctor insurance fraud goes down enormously.
They look at their bills and so we don't have that kind of division that make and then.
If you say bureaucratic.
Wall that makes it possible for these things to happen so -- once you get a real free market in there.
You're gonna get the thousands hundreds of thousands millions of patients policing this thing.
And that's how ultimately cut down you can that do suppression I'm sure they're gonna come up with new ways to find patterns to hit this thing.
But can be daunting unless you get the Medicare beneficiaries.
Finding ways to police -- themselves and think given the opportunity they will.
How capitalism will save us is the name of Steve Forbes latest book proud to say that.
My little little experts in my family had involved with the socialized medicine is -- well -- great book Steve congratulations and I -- it sells well -- -- again thank you very much for your service to the country you're doing great work appreciate it.
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