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Medicare Fraud is Ripe for a Tech Solution, But It's Complicated



If CMS could be sued for HIPAA violations, it would be. But behind tales of government inefficiency and inertia is a tremendous debate. Summed up, the very technology that could solve our identity and fraud problems could open up tremendous privacy concerns.



3 comments on "Medicare Fraud is Ripe for a Tech Solution, But It's Complicated"
Frank Poggio (9/12/2013 at 2:57 PM)

Scott, Great post, good summary. As I have said on this blog and others, it is not a technical problem, but a political and sociological one. Till they get those resolved there can be no cost efficient or user friendly solution.
Randy Vanderhoof (9/12/2013 at 10:11 AM)

Solving the Medicare fraud problem is not that complicated. Much of what you reported I agree with, but I take issue with the threat to privacy concern that you mention. The Smart Card Alliance has published numerous reports that address the appropriate use of smart card technology for healthcare use. To begin with, the Medicare Common Access Card Act of 2013, aims to fix an existing privacy problem by taking the current personal identifier, you social security number, off the front of the card and storing it securely on the smart card chip that can only be read when the cardholder inserts it along with a PIN to an authorized terminal in a medical facility. Also, if the government wanted to extend services for home use, it could provide low cost (under $10) readers for home computers that would enable people to securely access their health records without entering their social security number on the keyboard and exposing it to hackers. A few $millions would reduce medicare fraud by $billions.
Pork Barrel Buster (9/10/2013 at 6:05 PM)

COuld it be that Oberthur, the largest maker of said smart cards, has their US headquarters in Rep. Gerlach's district?