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Tuesday, June 14, 2016

Meet the Bounty Hunter Who Is Blowing the Whistle on Medicare

Billions wasted, but many seem to like things that way

LIVONIA, Mich. —
Tucked into an office park is a man who could save taxpayers billions—if the government wanted him to.

Chris Mucke is a recovery audit contractor—a bounty hunter, some would call him—tasked with clawing back improper spending in the prescription drug program for older Americans.

However, Washington really doesn’t want him to do that, he says, highlighting political pressure—from insurers, pharmacies, doctors, hospitals, and patients—to keep the spigots open, no matter how fraudulent or improper the spending.

So now he is suing, and shining a harsh light on what many agree is wild overspending in Medicare, the biggest health-care purchaser on Earth. The $597 billion it spent in 2014 made up 14 percent of the U.S. government’s budget that year.

In two filings with federal claims court seeking $140 million combined, Mucke’s company, ACLR, contends it could have staunched the bleeding of taxpayer dollars but was instead blocked at every turn by federal bureaucrats uninterested in doing so.

In ACLR’s area of focus, Medicare Part D’s popular drug prescription program, the government estimates $1.9 billion was misspent in 2014 alone. From 2011 to 2014, ACLR’s grand total recovered for the government was a paltry $10 million, with the company’s take of the proceeds 7.5 percent to 12 percent.

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2 comments:

Anonymous said...

Trump will fix it.

Anonymous said...

We've heard f fraudulent medicare cases for years and no one's done anything to stop it. That's why voters are turning to an outsider to help turn things around. Like him or not, Trump is the one to at least give it a try.