The article’s author claims “it’s too easy for health plans to gouge the government.”
Two more lawsuits recently have surfaced and lawyers predict more will surface, according to the report. The Justice Department plans to investigate Medicare risk scores, which are a primary whistleblower target.
Malcolm Sparrow, a healthcare fraud expert at Harvard’s John. F. Kennedy School of Government believes the number of whistleblower cases suggests lax government oversight and “shows the incentives provided for whistleblowers are working well, and all the other controls and detection systems are failing miserably.”
Ray Thorn, a CMS spokesman, said CMS “is taking steps to protect taxpayers, Medicare beneficiaries and the Medicare program,” reports NPR.
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