Pubdate: Wed, 16 Nov 2005 Source: Cherokee Scout, The (Murphy, NC) Copyright: 2005 The Cherokee Scout Contact: http://www.thecherokeescout.com/ Details: http://www.mapinc.org/media/2314 MEDICAID NEEDS ACCOUNTABILITY Medicaid is, without question, a noble program. Any civilized society should help its citizens obtain basic human needs, and access to quality health care tops the list. Sadly, that good idea has had some bad results. Medicaid paid about $12.2 million for prescription drugs last fiscal year in Cherokee County, and Sheriff Keith Lovin believes more than half of that was obtained fraudulently, contributing to 29 prescription drug overdoses in the last five years. Law enforcement, conscientious doctors and the Department of Social Services are working to fight the fraud, but there is a major flaw in the program. Officials say even after a person is arrested, convicted and sentenced for Medicaid fraud, if they are still eligible there is nothing they can do to stop the abuser from getting Medicaid - that's taxpayers - to pay for their drugs again and repeating the downward spiral. The rules "inadvertently reward bad behavior," as county social services investigator Cathy Hurt put it. This violates all tenets of common sense. In a country linked by computers and Social Security numbers, it shouldn't be too hard to red-flag offenders and make sure they don't get a carte blanche "blue card" for whatever medications they want. Doctors and pharmacies would have to play a part, but the push for accountability must be led by Medicaid at the state and federal levels. Taxpayers - as well as drug abusers who need help - need to know there's a better way. - --- MAP posted-by: Larry Seguin