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re: NYC Medicaid fraud- “home healthcare workers”

Posted on 1/2/26 at 4:04 pm to
Posted by Padme
Member since Dec 2020
9753 posts
Posted on 1/2/26 at 4:04 pm to
Hmm, would have expected Florida to be up there, they’re a pretty good size state
Posted by roadGator
DeBoar’s dome
Member since Feb 2009
157824 posts
Posted on 1/2/26 at 4:05 pm to
Yeah. It’s overwhelming.

But the worst part is they are just warehouses for people waiting to die.

I’ll work three jobs to keep my mom out of one if need be.
Posted by the808bass
The Lou
Member since Oct 2012
128779 posts
Posted on 1/2/26 at 4:06 pm to
quote:

One trip to a Medicaid nursing home would change anyone’s mind about wanting to stay in one more than 10 minutes.


Most beds are dual certified, meaning they can have Medicaid or Medicare patients in them. But as the patient population skews to Medicaid (where the nursing home is getting $180ish/day (those are admittedly numbers from a few years ago when I knew those things) versus private pay or Medicare (where the nursing home is getting $300-$650+/day), the home skews to shite. Even at 20% of the patient population at private pay/managed care/Medicare, the home could be borderline ok. Below that, don’t put your dog in there.
Posted by The Torch
DFW The Dub
Member since Aug 2014
29599 posts
Posted on 1/2/26 at 4:07 pm to
Elon opening up Twitter has exposed our entire government system as incompetent.
Posted by SlowFlowPro
With populists, expect populism
Member since Jan 2004
476721 posts
Posted on 1/2/26 at 4:07 pm to
quote:

It’s not in the top 200 scams.

And you don’t have data for it.


This fella from the AEI says $6B/year.

I have to imagine that's top 200

Lots of studies in the link.

Posted by SludgeFactory
Middle of Nowhere
Member since Jun 2025
3848 posts
Posted on 1/2/26 at 4:09 pm to
quote:

I wish I knew about this when I was providing 24hr in home care to my MIL last January and February.

Stupid me, I thought that's just what you do for your parents and relatives.


Well the poster you replied to supports all of the corruption you are reading about today, so it is only appropriate that they participated in it.
Posted by the808bass
The Lou
Member since Oct 2012
128779 posts
Posted on 1/2/26 at 4:09 pm to
My mother in law was on a trilogy machine for the last several years of her life. The curse was that it was very taxing rotating family members to care for her. The blessing was that she passed at home and not in a nursing home (as nursing home nurses are scared to death of trilogies for reasons that no one else can understand and DME companies criminally overcharge trilogies to facilities on a per diem rate).
Posted by the808bass
The Lou
Member since Oct 2012
128779 posts
Posted on 1/2/26 at 4:10 pm to
By “scam” you mean following the law. Weird for a lawyer to say.
Posted by SlowFlowPro
With populists, expect populism
Member since Jan 2004
476721 posts
Posted on 1/2/26 at 4:12 pm to
I didn't say fraud.
Posted by the808bass
The Lou
Member since Oct 2012
128779 posts
Posted on 1/2/26 at 4:14 pm to
And also, laxness by the state in pursuing assets. So, pretty much nowhere near a scam.

For someone who is so pedantic about word usage, you fricked that one up.
Posted by TheOcean
#honeyfriedchicken
Member since Aug 2004
45952 posts
Posted on 1/2/26 at 4:14 pm to
I do a lot of medicaid planning. We are normally just shifting around assets to make assets exempt. There's nothing shady going on, the laws in my state protect certain assets. So we take non protected assets and make them protected
Posted by the808bass
The Lou
Member since Oct 2012
128779 posts
Posted on 1/2/26 at 4:14 pm to
Yeah, this “estimate” is based on the states not pursuing repayment from estates. Also not a scam.
Posted by dovehunter
Baton Rouge
Member since Sep 2014
1915 posts
Posted on 1/2/26 at 4:17 pm to
You realize that every aide in NY has 5.9 patients. In LA it’s 19. You telling me it’s a full time job to take care of 5.9 patients? 20 seems a bit more reasonable. What is the is aide paid?
Posted by the808bass
The Lou
Member since Oct 2012
128779 posts
Posted on 1/2/26 at 4:24 pm to
quote:

You realize that every aide in NY has 5.9 patients. In LA it’s 19. You telling me it’s a full time job to take care of 5.9 patients?


Yes. They’re not actually taking care of those 5.9 patients. Because they’re nursing home workers. But if they were actually doing it, you could keep reasonably busy with 6 patients as an aide. (In fairness to you, probs a little light. But 19 is criminal and I would be scared for a patient’s well-being if their aide had 18 other patients.)

All of that is a separate topic from the consumer directed care in the OP.
Posted by dovehunter
Baton Rouge
Member since Sep 2014
1915 posts
Posted on 1/2/26 at 4:50 pm to
They are including all patients over 65. Many say between say 65-75 require no care. This seems like a lot of resources per patient. I guess the devil is in the details. You have to ask how it could be so much difference in NY, CA and the other high demand states vs LA. We know we have a relatively sick population.
Posted by David_DJS
Member since Aug 2005
22726 posts
Posted on 1/2/26 at 5:08 pm to
quote:

(of course you can say, f*ck you, deal with it, not states problem - I might have had the same position until the cancer was found).

Why would the cancer being found change your position on the government paying a family to do family things?

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