Updates from the OIC

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Medicare’s WISeR payment model raises serious concerns

 
 

Our consumer protection mission includes running the Senior Medicare Patrol to help uncover fraud and abuse in the Medicare program and educate seniors about how to recognize fraud.

That’s a long way of saying we understand the importance of rooting out waste, fraud, and abuse, and the impact it can have on costs, access to care and the health of Medicare beneficiaries. And we support advancements that help uncover and fix fraud in our health care system because we know it impacts what we all pay.

That said, I have serious concerns about the recently announced federal Medicare fraud and abuse prevention pilot coming to Washington state next year.

Fighting fraud and abuse in our healthcare system is not the problem; it’s how the WISeR (Wasteful and Inappropriate Service Reduction) pilot model was rolled out and the questions it’s left unanswered.

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