Medicaid- Medicare : ObamaCare Much Larger

This not a new phenomena when it comes to the federal government. It is estimated that ObamaCare will be the largest mandated federally sponsored entitlement program in this country's history.

With Social Security and Medicaid and Medicare going broke where the level of fraud is more then 30%, just imagine the fraud in a program that is larger then any two of the others? Not to mention the Obama administration hasn't even begone to issue the majority of the regulations to control its operations. How many do you think it will take to control an federal mandate that in its self is 2700 pages Long. Even the supreme court laughed at the insanity.

So who would willing vote to give up personal freedom? Who and why would so many people vote to step back from our 235 year history of living free from government control of our lives? Who are these people? Low information voters? Where do they live? What do they read? What TV channels do they watch? Where do they get their information each day?

Certainly not all of these voters live in California, Illinois or New York, all states that are headed into bankruptcy from years of being dominated by progressive liberalism.

Mismatched Data Hamper U.S. Accounting of Medicaid Costs
Source: "Mismatched Data Hamper U.S. Accounting of Medicaid Costs," BusinessWeek, November 29, 2012.

December 4, 2012
Auditors report that the full extent of U.S. spending on Medicaid is unclear because there are mismatches between government databases, says BusinessWeek.

•Medicaid is a $459 billion state-federal health insurance program.
•The Obama administration's new health care law expands Medicaid in 2014 to cover all Americans earning wages near the poverty line.
•However, there was a $43 billion gap in 2009 when data was compared from the states, which run Medicaid, and the U.S. Centers for Medicare and Medicaid Services, which pays for more than half the program.

A part of this is because the U.S. Department of Health and Human Services had not audited about $4 billion in payments to doctors and hospitals for the purpose of installing electronic record systems. Creating electronic health records was a priority of the Obama administration -- $27 billion was allocated in the 2009 economic stimulus for medical providers who install them.

The delay in reporting the data can be an impediment to creating consistency between the two databases. States are supposed to report one set of Medicaid spending to the federal government within 45 days, however it can be as many as three years late. Hospitals are also under scrutiny for using the computer systems to increase the amount of their billings to Medicare.

Because there are obstacles to overseeing the electronic health records incentive program, there is a risk that professionals and hospitals that do not meet the meaningful use requirement end up getting paid.

The acting administrator of the Medicare agency says that a prepayment audit should not be necessary for the medical records initiatives because it could significantly delay reimbursement to hospitals and doctors.