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by HillaryBriss 2754 days ago
interesting that only about $10 million was fraudulently billed to a private company (blue cross/blue shield), and pretty much all the rest was billed to state and federal governments.

maybe this is reading too much into it, but might this be evidence that government health care funds are poorly managed and pay out too much, too often, asking too few questions in the process?

2 comments

Or it’s evidence that they exploited a population that doesn’t have private health insurance.
yeah, that seems reasonable. and maybe the patient population in their area is covered almost exclusively by state and federal plans because of low income.
What'd be the argument for that interpretation?

To note it, the article's figures are for submitted claims, not for approved claims.

true. it may be that they didn't pay out many, or any, of those claims. fair point.