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@conspiracy_brutha - KP

#OnlyInAmerica!!! 👀😂 Washington — Call it drugs for the departed: #Medicare’s prescription program kept paying for costly medications even after patients were dead. The problem was traced back to a head-scratching #bureaucratic rule that’s now getting a second look. A report coming out Friday from the Health and Human Services Department’s inspector general says the Medicare rule allows payment for prescriptions filled up to 32 days after a patient’s death — at odds with the program’s basic principles, not to mention common sense. “Drugs for deceased beneficiaries are clearly not medically indicated, which is a requirement for (Medicare) coverage,” the IG report said. It urged immediate changes to eliminate or restrict the payment policy. Medicare said it’s working on a fix.

#OnlyInAmerica!!! 👀😂
Washington — Call it drugs for the departed: #Medicare’s prescription program kept paying for costly medications even after patients were dead.

The problem was traced back to a head-scratching #bureaucratic rule that’s now getting a second look.
A report coming out Friday from the Health and Human Services Department’s inspector general says the Medicare rule allows payment for prescriptions filled up to 32 days after a patient’s death — at odds with the program’s basic principles, not to mention common sense.
“Drugs for deceased beneficiaries are clearly not medically indicated, which is a requirement for (Medicare) coverage,” the IG report said. It urged immediate changes to eliminate or restrict the payment policy.
Medicare said it’s working on a fix.

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  • Investigators examined claims from 2012 for a tiny sliver of Medicare drugs — medications to treat HIV, the virus that causes AIDS — and then cross-referenced them with death records. They found that the program paid for drugs for 158 beneficiaries after they were already dead. The cost to taxpayers: $292,381, an average of $1,850 for each beneficiary. Medicare’s “current practices allowed most of these payments to occur,” the report said. Of 348 prescriptions dispensed for the dead beneficiaries, nearly half were filled more than a week after the patient died. Sometimes multiple prescriptions were filled on behalf of a single dead person.
     
  • Investigators don’t know what happened to the medications obtained on behalf of dead people, but some may have been diverted to the underground market for prescription medicines. The report said HIV drugs can be targets for fraud since they can be very expensive; one common HIV drug costs about $1,700 for a month’s supply, it said. Medicare is the government’s premier health insurance program, providing coverage to about 55 million seniors and disabled people. Prescription coverage delivered through private insurance plans began in 2006 as a major expansion of the program. But it’s also been a target for scams.
     
  • The report did not estimate the potential financial impact across the $85 billion-a-year Medicare prescription program known as Part D. But investigators believe the waste may add up to millions of dollars. “The exposure for the entire Part D program could be significant,” said Miriam Anderson, team leader on the report. “The payment policy is the same for all drugs, whether they are $2,000 drugs to treat HIV or $4 generic drugs.” In a formal response, Medicare agreed with the investigators’ recommendations. “After reviewing this report, (Medicare) has had preliminary discussions with the industry to revisit the need for a 32-day window,” wrote Marilyn Tavenner, the Obama administration’s Medicare chief. Medicare had originally maintained that the date of service listed in the billing records could instead reflect when a pharmacy submitted bills for payment. That billing date might have actually occurred after a prescription was filled, since some nursing home and institutional pharmacies submit their bills in monthly bundles.
     
  • However, the inspector general’s investigators found that about 80 percent of the prescriptions for dead beneficiaries were filled at neighborhood pharmacies, undercutting Medicare’s first explanation. As for the remainder, the investigators said they didn’t see any reason pharmacies can’t report an accurate date of service. Investigators said they stumbled on the problem during an examination of coverage for #AIDS drugs dispensed to Medicare beneficiaries. Sexually transmitted diseases are an increasingly recognized problem among older people. That earlier investigation raised questions about expensive medications billed on behalf of nearly 1,600 Medicare recipients.
     
  • Some had no #HIV diagnosis in their records, but they were prescribed the drugs anyway. Others were receiving excessively large supplies of medications. Several were getting prescriptions filled from an unusually large number of #pharmacies. Prescription drug fraud has many angles. When the high price of a drug puts it out of reach for certain patients, it can create an underground market. And some medications, like #painkillers and anti-anxiety pills, are constantly sought after by people with substance-abuse issues.
     
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2014-10-31 12:12:01

@livelyfe2thafullest - Matthew Paulus

So in bed and movie day with me since I'm sick. I'll see you when you get here, bring drinks I have snacks. @lovewisdom84 @dropdeadshawnithan @amanndaburns @cookade12 #movieday #pain #inbed #friends #lovethem #special #happy #inpain #alot #notreallyimgoijntowork #ihavetowork #hatemyjob #supersick #fuckthis #him #love #michigan #kansas #newjersey #mostlykansas #myboo #chocolatelove #painkillers #mustang #kade #fun #bcbs

So in bed and movie day with me since I'm sick. I'll see you when you get here, bring drinks I have snacks. @lovewisdom84 @dropdeadshawnithan @amanndaburns @cookade12 #movieday #pain #inbed #friends #lovethem #special #happy #inpain #alot #notreallyimgoijntowork #ihavetowork #hatemyjob #supersick #fuckthis #him #love #michigan #kansas #newjersey #mostlykansas #myboo #chocolatelove #painkillers #mustang #kade #fun #bcbs

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2014-10-31 12:17:10

@fishbamira - Misbah

Hoping these with work as #painkillers! #dairyfree #chocolate #truffles @boojabooja :) #nofilter

Hoping these with work as #painkillers! #dairyfree #chocolate #truffles @boojabooja :) #nofilter

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2014-10-31 11:24:07

@agibuu - agibuu

Good morning my friend #friday #morning #painkillers #and #wine #still #in #bed #bestfriend

Good morning my friend #friday #morning #painkillers #and #wine #still #in #bed #bestfriend

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2014-10-31 11:20:26

@_volcano_grrrl_ - Billie ♏️🌾👶⭐️🌙🔮🔫🎶🍼🍌🍏🌄📷

#painkillers #pills #pillbox #amethyst

#painkillers #pills #pillbox #amethyst

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2013-02-23 21:27:31

@kaykaymoo - Michaela Moody

Waking up all #night with #pain after the #tonsillectomy 😰 #SoSore! What a #horrible #nights #sleep 😖 #hospital #snapchat #Tullamore #tonsils #surgery #IV #drip #painkillers #painrelief #thismorning #headinghome soon #ThankGod ! 😷🏥🏨

Waking up all #night with #pain after the #tonsillectomy 😰 #SoSore! What a #horrible #nights #sleep 😖 #hospital #snapchat #Tullamore #tonsils #surgery #IV #drip #painkillers #painrelief #thismorning #headinghome soon #ThankGod ! 😷🏥🏨

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2014-10-31 09:58:42

@stephbreatheinreverse - Steph Cartmel

13 days of tablets. Woohoo.. #pain #helpme #help #haii #mynameissteph #painkillers #tablets #breathecarolina #bmo #sad #sadness #downdays #balanceissues

13 days of tablets. Woohoo.. #pain #helpme #help #haii #mynameissteph #painkillers #tablets #breathecarolina #bmo #sad #sadness #downdays #balanceissues

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2014-10-31 09:48:28

@abbylouise19 - Abby Wright, snapchat: abbylxx

My position for the rest of the day #poorlybairn #painkillers #toast

My position for the rest of the day #poorlybairn #painkillers #toast

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2014-10-31 09:26:35

@mharjalain - MharjAlain

Thought i was totally over u.. #painkillers

Thought i was totally over u..
#painkillers

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2014-10-31 09:11:25

@tuukkasaarela - Tuukka Saarela

#medicine #burana #panacod #lyrica #painkillers

#medicine #burana #panacod #lyrica #painkillers

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2014-10-31 07:09:27

@lovedusk - Lovedusk

Splash! We live for over expenditure of the anti-jelly tip. Let's celebrate the 80's. Can we? #alcohol #painkillers #levels #peoplewhoarelihhtweightsandtheylie #freedom #boho #goths #vampires #halloween

Splash! We live for over expenditure of the anti-jelly tip. Let's celebrate the 80's. Can we? #alcohol #painkillers #levels #peoplewhoarelihhtweightsandtheylie #freedom #boho #goths #vampires #halloween

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2014-10-31 05:34:08

@jdoubleya06 - Jessica Walker

The full version is better! This made my crummy day worth it all♡ #giggles#painkillers#fun#kirbythedog

The full version is  better! This made my crummy day worth it all♡ #giggles#painkillers#fun#kirbythedog

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2014-10-31 04:55:36

@danprado7 - 💫⚽Dan Prado💫

Eu Sei que no Futebol dentro das 4 Linhas estamos a sujeitos a todo Tipo de lesao, Mais hoje foi muito infeliz essa Entrada por traz em um Treino coletivo contra um companheiro Mais faz parte , Minha noite gelo , pomadas faixas e morfina 😔😭😷🚨🚑💊💉⚽️! #injury #força #ice #soccer #practice #cirugia #dor #pain #pills #painkillers #lesao #DAN7 #frustated #cantwalk #acontece #shithappens #StrikersFC #Cosmos #midfielder

Eu Sei que no Futebol dentro das 4 Linhas estamos a sujeitos a todo Tipo de lesao, Mais hoje foi muito infeliz essa Entrada por traz em um Treino coletivo contra um companheiro Mais faz parte , Minha noite gelo , pomadas faixas  e morfina 😔😭😷🚨🚑💊💉⚽️! #injury #força #ice #soccer #practice #cirugia #dor #pain #pills #painkillers #lesao #DAN7 #frustated #cantwalk #acontece #shithappens #StrikersFC #Cosmos #midfielder

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2014-10-31 04:44:11

@withlovemayy - Mayy

"Green eyes, yeah the spotlight, shines upon you." #coldplay #greeneyes #blondie #bedrest #clarity #tattooedwomen #pierced #painkillers

"Green eyes, yeah the spotlight, shines upon you." #coldplay #greeneyes #blondie #bedrest #clarity #tattooedwomen #pierced #painkillers

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2014-10-31 04:39:44

@cintiacarolinadacosta - Nina007

Painkillers after a mean workout with Matt. #painkillers

Painkillers after a mean workout with Matt. #painkillers

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2014-10-31 04:33:40

@breejones21 - Breann Jones

When I hurt myself he's always here to take care of me!!! 😚💕👦 #littlebrother #mrdoctor #messedmywristup #painkillers #icky #hurt

When I hurt myself he's always here to take care of me!!! 😚💕👦 #littlebrother #mrdoctor #messedmywristup #painkillers #icky #hurt

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2014-10-31 04:22:27

@darlingnicky999 - Darling Nicky™

0 to 100. Real quick.

0 to 100.  Real quick.

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  • #crazy #scorpios #karaoke #painkillers #plantain #toronto #badbitches #wellnotreally #wereactuallyverygoodbitches #kbye
     
 

2014-10-31 03:56:31

@citlalic16 - Citlalic Garcia

Went crazy looking for my pain killers. This pain is a total bitch. #painkillers #drugs #notgoodenough #thispainisabitch #hydrocodone #needmore #painsabitch #ihaveaproblem #bored #surgery #aftersugery #surgeryaftermath #addict

Went crazy looking for my pain killers. This pain is a total bitch.
 #painkillers #drugs #notgoodenough #thispainisabitch #hydrocodone #needmore #painsabitch #ihaveaproblem #bored #surgery #aftersugery #surgeryaftermath #addict

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  • Let your doctor know so they can give you something stronger...maybe valium
     
  • @citlalic16 (9 h)
    @la_chulis_clau I definitely am on Tuesday when I see my surgeon. Usually they give me stronger meds, but after my surgery I had a bad reaction to morphine-- which is weird cause I never do :o
     
  • Omg what happened did they put it in your iv or direct to your blood....mine has to be in mY iv or else mY heart accelerates big timr
     
  • *time
     
  • @citlalic16 (9 h)
    @la_chulis_clau I don't know what happen, I always get morphine and lots of it, so that happening was super strange. They put it in my iv
     
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2014-10-31 03:02:14

@timmykat - Timothy Albright

16 Stitches . #PainKillers #Pain

16 Stitches . #PainKillers #Pain

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2014-10-31 02:38:28

@mastertonj - Jessica Masterton

Hospital selfies #hospital #bored #neckbrace #painkillers #highondrugs #ouch #ihateinjuries

Hospital selfies #hospital #bored #neckbrace #painkillers #highondrugs #ouch #ihateinjuries

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  • @freakaleak87 (9 h)
    @mastertonj was going to ask what happened but a quick glance at your pics explains it all haha
     
  • @mastertonj (8 h)
    Haha @freakaleak87 it seems to happen too often
     
  • @maria27382 (4 h)
    What happened @mastertonj ?
     
 

2014-10-31 02:32:50

@sabrinawolman - sabrinawolman

New knee, new you. Is that a thing? Nursing this poor pup back to health 🐾 #westie #westiegram #westieproblems #westhighlandwhiteterrier #ilovemydog #mylittleathlete #newacl #sickpup #painkillers

New knee, new you. Is that a thing? Nursing this poor pup back to health 🐾 #westie #westiegram #westieproblems #westhighlandwhiteterrier #ilovemydog #mylittleathlete #newacl #sickpup #painkillers

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2014-10-31 01:22:14

@rapidopiatedetox - Waismann Method Rapid Detox

You CAN live an addiction free life. #Opiates #Painkillers #painkillerAddiction #rapiddrugdetox #Waismann #BestRapidDetox #RapidDetox #opiate #OpiateDetox #WaismannMethod #love #WaismannInstitute #happy #quotes #quote #clinic #detox #freedom from #drugs #peace #progress #health #healthy #NewStart #Power #Believe #Positive #Attitude #Mind

You CAN live an addiction free life. #Opiates  #Painkillers  #painkillerAddiction  #rapiddrugdetox #Waismann #BestRapidDetox #RapidDetox  #opiate #OpiateDetox #WaismannMethod #love  #WaismannInstitute #happy #quotes #quote #clinic #detox #freedom from #drugs #peace  #progress #health #healthy #NewStart #Power #Believe #Positive #Attitude #Mind

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2014-10-31 00:33:28

@rapidopiatedetox - Waismann Method Rapid Detox

Take your first step. Call today (310) 205-0808. #Opiates #Painkillers #painkillerAddiction #rapiddrugdetox #Waismann #BestRapidDetox #RapidDetox #opiate #OpiateDetox #WaismannMethod #love #WaismannInstitute #happy #quotes #quote #clinic #detox #freedom from #drugs #peace #progress #health #healthy #NewStart #Power #Believe #Positive #Attitude #Mind

Take your first step. Call today (310) 205-0808. #Opiates  #Painkillers  #painkillerAddiction  #rapiddrugdetox #Waismann #BestRapidDetox #RapidDetox  #opiate #OpiateDetox #WaismannMethod #love  #WaismannInstitute #happy #quotes #quote #clinic #detox #freedom from #drugs #peace  #progress #health #healthy #NewStart #Power #Believe #Positive #Attitude #Mind

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2014-10-31 00:31:28

@kaykaymoo - Michaela Moody

#HospitalSelfie 😛 Had #tonsillectomy #surgery #thismorning and I've been in #recovery ever since.. Took a #quick #snapchat #selfie to thank everyone for the #wellwishes 👍 My #hand looks #huge #lol 😂 Had to put a #smooth #filter over the #pic cause I look like #death warmed up #haha 🙊 #tonsils #sick #hospital #tullamore #snapchatselfie #michaela #IV #drip #painkillers #painrelief #sore #HighAsAKite #morphine

#HospitalSelfie 😛 Had #tonsillectomy #surgery #thismorning and I've been in #recovery ever since.. Took a #quick #snapchat #selfie to thank everyone for the #wellwishes 👍 My #hand looks #huge #lol 😂 Had to put a #smooth #filter over the #pic cause I look like #death warmed up #haha 🙊 #tonsils #sick #hospital #tullamore #snapchatselfie #michaela #IV #drip #painkillers #painrelief #sore #HighAsAKite #morphine

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  • @alijeidi (12 h)
    Let me know if u need tips ... I could help :>
     
  • @alijeidi (12 h)
    Just take your time and rest a lot .... Eat and drink softly ... In order to heal up so quick u need to eat and drink even it hurts so bad you swallow ... Just stick to soft food
     
  • @alijeidi (12 h)
    Honey is so good to soothe out your throat :>>> good luck .
     
  • @mamidevran (12 h)
    Get well soon @kaykaymoo
     
  • @alijeidi (12 h)
    @kaykaymoo aw I was gonna forget ... Just try ur best to swallow like don't spit at all cuz ur throat is healing and you don wanna irritate it ....👍
     
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2014-10-31 00:01:26

@gofarr93 - Graham Farr

Backs fucked again one day before one of the biggest races of the year.. #yay #fourshead #rowing #ergofun #patchmeupplease #painkillers

Backs fucked again one day before one of the biggest races of the year.. #yay #fourshead #rowing #ergofun #patchmeupplease #painkillers

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2014-10-30 23:34:28

@zakj_black - Zakariyya Johnson

Throwback to the day of my meniscus surgery#painkillers

Throwback to the day of my meniscus surgery#painkillers

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  • You look like you are really thinking about life
     
 

2014-10-30 22:41:48

@escaping.the.future - Nobody...

Fuck, this is so me...!! I'm kind of the goody goody girl, good grades and all nice. But even tho that might be, I don't feel like doing any of it anymore... I'm do bored of being smartest and best in class... I just want to have all the pressure off my shoulders! Everybody has so high hopes for me, but I just can't reach them...

Fuck, this is so me...!! I'm kind of the goody goody girl, good grades and all nice. But even tho that might be, I don't feel like doing any of it anymore... I'm do bored of being smartest and best in class... I just want to have all the pressure off my shoulders! Everybody has so high hopes for me, but I just can't reach them...

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  • {#worthless #razor #triggering #teared #teenager #useless #unloved #ugly #imdone #painkillers #ana #anorexic #anxiety #savedeadinside #stressed #scars #suicidal #selfharmmm #selfhate}
     
  • {#depressed #dead #fakesmile #killme #cut #cutting #broken #blade #nothing #mentaldisorder}
     
 

2014-10-30 21:38:50

@smokerfrom434 - smokerfrom434

These had me zoning all day #pks #painkillers #pills #drugs #dope

These had me zoning all day #pks #painkillers #pills #drugs #dope

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2014-10-30 21:28:22

@helenesmall - Helene Small

#bestcompanion together with some serious #painkillers making this day almost bearable.... #iheartTinkerbelle #kittensonbeds

#bestcompanion together with some serious #painkillers making this day almost bearable.... #iheartTinkerbelle #kittensonbeds

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2014-10-30 21:16:04

@escaping.the.future - Nobody...

"you don't look fine to me." "then stop looking!"

"you don't look fine to me." "then stop looking!"

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  • {#worthless #razor #triggering #teared #teenager #useless #unloved #ugly #imdone #painkillers #ana #anorexic #anxiety #savedeadinside #stressed #scars #suicidal #selfharmmm #selfhate}
     
  • {#depressed #dead #fakesmile #killme #cut #cutting #broken #blade #nothing #mentaldisorder}
     
 

2014-10-30 21:02:30