Welcome to DU! The truly grassroots left-of-center political community where regular people, not algorithms, drive the discussions and set the standards. Join the community: Create a free account Support DU (and get rid of ads!): Become a Star Member Latest Breaking News Editorials & Other Articles General Discussion The DU Lounge All Forums Issue Forums Culture Forums Alliance Forums Region Forums Support Forums Help & Search

General Discussion

Showing Original Post only (View all)

cbdo2007

(9,213 posts)
Mon Apr 2, 2012, 10:06 AM Apr 2012

$14 Billion Medicare Scam by Quest & LabCorp exposed [View all]

March 23, 2012 /PRNewswire-USNewswire/ -- Quest Diagnostics Incorporated (Quest) and Laboratory Corporation of America (LabCorp), the nation's two largest laboratories, are currently involved in a multi-billion dollar Medicare scam, according to a lengthy and critical expose published in one of the medical laboratory industry's leading trade publications.

The Dark Report revealed recently that the two labs have billed the federal government $14 billion in questionable Medicare fees over a 10-year period and that the practice continues today.

This long-running Medicare and Medicaid fraud has generated billions in profits for the companies, turning them into market leaders at taxpayers' expense, said Karen Hinton, a representative for NPT Associates and Fair Laboratory Practices Associates, plaintiffs in federal lawsuits against Quest and LabCorp.

..."The scam works like this: Quest and LabCorp provide kickbacks to private insurance companies – in the form of deeply-discounted and sometimes below-cost lab fees. In exchange, the insurance companies pressure doctors in their networks to send all of their patients' lab work, including Medicare and Medicaid patients, to either Quest or LabCorp. The labs fund the kickbacks (lower lab fees for private insurance patients) by overcharging Medicare and Medicaid patients anywhere from 70% to 500% higher. For example, Quest charged the State of California $8.59 for a complete blood test, but billed private insurers only $1.43."

http://www.sacbee.com/2012/03/23/4360973/medicare-scam-by-quest-labcorp.html#storylink=cpy

27 replies = new reply since forum marked as read
Highlight: NoneDon't highlight anything 5 newestHighlight 5 most recent replies
Not to worry... Fumesucker Apr 2012 #1
+1 on that.... anti-alec Apr 2012 #4
Um, why do you think this is becoming public? cbdo2007 Apr 2012 #5
It was in someone's interests to expose it? Fumesucker Apr 2012 #17
Seems as though this is indeed a direct result of federal oversight. LanternWaste Apr 2012 #19
I read the article as the expose was done by the industry trade magazine.. Fumesucker Apr 2012 #21
Did you ProSense Apr 2012 #23
The Feds certainly did a bang up job of oversight in this case.. Fumesucker Apr 2012 #24
Couldn't they "self regulate" properly? KansDem Apr 2012 #2
Ai-yi-yi-yi-yi! That's where I go... joeybee12 Apr 2012 #3
Wait, no. All Medicare fraud is committed by slackers getting bennies they don't deserve.... Scuba Apr 2012 #6
I find it interesting that most of these scams... Frustratedlady Apr 2012 #7
I have read elsewhere years ago that Florida is the leading state for Medicare fraud. avaistheone1 Apr 2012 #8
Not a scam zipplewrath Apr 2012 #9
There's a huge difference, though gratuitous Apr 2012 #14
"Kick backs" zipplewrath Apr 2012 #27
In the example yes - but the article also states cbdo2007 Apr 2012 #22
Correct amount zipplewrath Apr 2012 #26
Damn socialized medicine! Wait. What? AtomicKitten Apr 2012 #10
I'm in a large national private insurance group SCantiGOP Apr 2012 #11
Jail time: anyone??? lsewpershad Apr 2012 #12
I'm shocked. Egalitarian Thug Apr 2012 #13
Finally LAB Work is the biggest scam out there lovuian Apr 2012 #15
so are pharmacies notadmblnd Apr 2012 #20
Our dr. office has quit Lab Corp....now I know why, perhaps. dixiegrrrrl Apr 2012 #16
Sounds like extortion to me MagickMuffin Apr 2012 #18
That would explian quaker bill Apr 2012 #25
Latest Discussions»General Discussion»$14 Billion Medicare Scam...