Playing by the Rules: Ethics at Work Taking Advantage? on Alabama Public Television
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Playing by the Rules: Ethics at Work

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Taking Advantage?

Medicare Advantage, run by private insurance companies, is an alternative to traditional Medicare. Originally conceived as a way to rein in healthcare costs, the government now pays Medicare Advantage companies nearly $200 billion a year to cover some 19 million seniors. Yet, according to the federal government, nearly 10% of the payments to those private insurance companies are 'improper.' It's suspected many of those improper payments are the result of fraud. Now, several whistleblower lawsuits allege that some Medicare Advantage insurance companies are systematically bilking the government of billions, all part of their business model. Playing by the Rulesinvestigates the business practices which are said to be behind the alleged fraud.

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