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"If a man will not work, he will not eat..."
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<blockquote data-quote="iluvatar5150" data-source="post: 77115515" data-attributes="member: 313046"><p>Source?</p><p></p><p>The only one I can find that claims it's that high is <a href="https://federalsafetynet.com/welfare-fraud" target="_blank">Welfare Fraud</a> which is just some guy's blog. It doesn't look like his information is bad, per se, but he doesn't include all of the sources of welfare that some other sources do - notably, Social Security, <a href="https://www.crfb.org/press-releases/fact-sheet-how-much-waste-fraud-and-abuse-there-social-security" target="_blank">which is huge while having a very low rate of improper payments</a>. Just adding social security to his table would nearly halve the rate of "fraud."</p><p></p><p>Speaking of which, it's not "fraud" - it's "fraud and improper payments." "Improper payments" include mistakes and cases where reviewers have insufficient paperwork to determine whether or not a payment was appropriate.</p><p></p><p>You'll notice that the lion's share (70% or $113 billion out of $160.9 billion) of his "fraud" comes from Medicaid. From <a href="https://www.cms.gov/newsroom/fact-sheets/fiscal-year-2022-improper-payments-fact-sheet" target="_blank">CMS.gov</a>:</p><ul> <li data-xf-list-type="ul">Improper payments represent payments that do not meet program requirements.</li> <li data-xf-list-type="ul">The vast majority of improper payments occur in situations where there was an unintentional payment error or a reviewer cannot determine if a payment was proper due to insufficient payment documentation from a state, provider, or the Exchange.</li> <li data-xf-list-type="ul">Improper payments do not necessarily represent expenditures that should not have occurred and can include both overpayments and underpayments where there is insufficient documentation to determine if a payment is proper in accordance with program payment requirements.</li> <li data-xf-list-type="ul">While fraud and abuse are improper payments, not all improper payments represent fraud. Improper payment estimates are not fraud rate estimates.</li> </ul><p></p><p>That's not somebody scamming the system and not something that can be prevented by paternalistic administrative burdens placed on benefit recipients. If just half of the Medicaid overpayments were non-fraudulent errors or just unverifiable, then his "fraud" rate would drop below 10%. Most figures I've been able to find put the rate of actual fraud closer to 5%.</p></blockquote><p></p>
[QUOTE="iluvatar5150, post: 77115515, member: 313046"] Source? The only one I can find that claims it's that high is [URL="https://federalsafetynet.com/welfare-fraud"]Welfare Fraud[/URL] which is just some guy's blog. It doesn't look like his information is bad, per se, but he doesn't include all of the sources of welfare that some other sources do - notably, Social Security, [URL='https://www.crfb.org/press-releases/fact-sheet-how-much-waste-fraud-and-abuse-there-social-security']which is huge while having a very low rate of improper payments[/URL]. Just adding social security to his table would nearly halve the rate of "fraud." Speaking of which, it's not "fraud" - it's "fraud and improper payments." "Improper payments" include mistakes and cases where reviewers have insufficient paperwork to determine whether or not a payment was appropriate. You'll notice that the lion's share (70% or $113 billion out of $160.9 billion) of his "fraud" comes from Medicaid. From [URL='https://www.cms.gov/newsroom/fact-sheets/fiscal-year-2022-improper-payments-fact-sheet']CMS.gov[/URL]: [LIST] [*]Improper payments represent payments that do not meet program requirements. [*]The vast majority of improper payments occur in situations where there was an unintentional payment error or a reviewer cannot determine if a payment was proper due to insufficient payment documentation from a state, provider, or the Exchange. [*]Improper payments do not necessarily represent expenditures that should not have occurred and can include both overpayments and underpayments where there is insufficient documentation to determine if a payment is proper in accordance with program payment requirements. [*]While fraud and abuse are improper payments, not all improper payments represent fraud. Improper payment estimates are not fraud rate estimates. [/LIST] That's not somebody scamming the system and not something that can be prevented by paternalistic administrative burdens placed on benefit recipients. If just half of the Medicaid overpayments were non-fraudulent errors or just unverifiable, then his "fraud" rate would drop below 10%. Most figures I've been able to find put the rate of actual fraud closer to 5%. [/QUOTE]
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