National Minority Quality Forum and 23 Other Groups Urge Select Committee to Fight Medicare Fraud First


September 28, 2011

Representative Jeb Hensarling

129 Cannon HOB

Washington, DC 20515

Senator Patty Murray

448 Russell Senate Office Building

Washington, DC 20510

Dear Representative Hensarling and Senator Murray,

Our organizations represent millions of seniors, persons with disabilities, military veterans, and family members who depend upon America’s Medicare and Medicaid programs.

We understand the importance of addressing the nation’s fiscal challenges and securing a sustainable healthcare system. Achieving these objectives, however, does not have to entail changes that increase the burden on beneficiaries or weaken the benefit on which they depend. Rather, savings and sustainability can be achieved while strengthening the Medicare and Medicaid programs.

Specifically, we firmly believe program integrity should be a top priority of the Joint Select Committee. Evidence has proven that real savings can be gleaned through improved program integrity as federal officials just recently announced 91 people spread across eight cities were charged with filing a combined $295 million in fraudulent Medicare charges. This is an encouraging start, but is unfortunately, only a drop in the bucket for potential savings.

As you know, 10 percent of Medicare and Medicaid spending is lost to improper payments, fraud and abuse each year. This amounts to tens of billions of dollars. Given the need to identify as much as $1.5 trillion in savings, it is clear that improved program integrity presents not only an opportunity but an imperative.

As a result, we believe a top priority should be stopping the flow of dollars that now goes to criminals engaged in fraudulent and abusive practices — not increasing innocent beneficiaries’ out-of-pocket costs or cutting the funds that go to meeting Medicare and Medicaid patient needs. Read more