Medicare / Health Insurance Fraud

I cannot provide a summary of elder fraud, scams, or abuse from this text. The provided content is a weather forecast broadcast from WTVO news dated April 12th, 2024, which discusses temperatures, wind conditions, and weather predictions for the Rockford, Illinois area. It does not contain information relevant to the Elderus database's focus on elder fraud or abuse.

This educational piece from the Better Business Bureau provides prevention strategies for older adults and caregivers to protect against scams. Key recommendations include verifying requests with trusted contacts before sharing personal information, never voluntarily providing Social Security or Medicare numbers to unsolicited callers, avoiding clicking suspicious links, and being cautious of urgent language designed to pressure quick decisions. Caregivers should watch for warning signs such as increased junk mail, secretive behavior, unexpected account charges, or sudden financial difficulties, while also helping reduce solicitations by registering on do-not-call and do-not-mail registries and screening incoming calls.

Elder fraud reports to the FBI's Internet Crime Complaint Center rose 14% in 2023, with the trend continuing upward. The Alabama Securities Commission held a fraud and scam summit to educate community members about common scams targeting seniors in the state, including utility scams offering discounts before requesting financial information and phone scams that have compromised bank accounts at alarming rates. Experts and law enforcement emphasized the importance of seniors sharing their experiences to help prevent others from becoming victims.

Ashley Lamb from the Area Agency on Aging presented information about the Senior Medicare Patrol (SMP) program, which has operated since 2003 under North Carolina's Department of Insurance. The program aims to empower seniors aged 60 and older and their caregivers to prevent healthcare fraud, waste, and abuse through education and outreach, utilizing trained SHIP volunteers to provide free counseling and assistance across a 10-county region.

Bill Vickery, owner of Just Call, provides elder fraud prevention advice, emphasizing that most scams begin with phone calls, texts, or emails targeting seniors unfamiliar with modern technology. Key prevention strategies include not answering calls from unknown numbers, hanging up immediately if feeling suspicious, avoiding saying "yes" (which scammers may record and manipulate), and never verifying personal information over the phone with unknown callers. Vickery advocates for a proactive, educational approach to help seniors and their families recognize and avoid scams before they occur.

A nationwide Medicare fraud scheme involving a medical supply company in Roselle, Illinois resulted in over $100 million in fraudulent claims, with scammers ultimately making approximately $3 billion in fake Medicare billing before being caught. The small office, which normally submitted less than $8 million annually in claims, suddenly submitted over $260 million in just a few months, primarily for urinary catheters that had no legitimate purpose for the products listed. Federal investigators were observed conducting raids on the office as part of the investigation into this Medicare fraud ring.

Senator Bob Casey led a Senate Aging Committee hearing on fraud targeting older Americans, during which the committee released its annual "Fighting Fraud" resource book. The hearing addressed multiple scam types affecting seniors including grandparent scams, investment fraud, government impostor schemes, lottery scams, and tech support scams, while noting that scammers have become increasingly sophisticated in their tactics over recent years. The committee discussed both fraud prevention strategies and how federal law enforcement agencies respond to fraud reports.

Senior Services of Belmont County created "Fraud Bingo" as an innovative educational program to raise awareness about common scams targeting seniors, after residents in the area lost significant amounts of money, property, and in one case, a home to fraud. The program used bingo cards featuring different fraud and scam scenarios to engage hundreds of attendees in a format more appealing than traditional lectures. Local vendors donated prizes and participated in the event to increase both awareness and attendance.

During Medicare open enrollment season, scammers impersonate Medicare representatives and insurance agents to trick people into revealing personal information such as Social Security numbers, banking details, and Medicare ID numbers through unsolicited calls, texts, and phishing emails. The BBB has received frequent reports of these fraudulent schemes, which target millions of people seeking insurance plans and can result in identity theft or sale of personal data on the black market. Consumers should verify contacts by hanging up and calling official numbers directly, be wary of anyone offering limited-time enrollment offers, and avoid sharing personal information with unsolicited callers.

During open enrollment season, scammers are targeting people with unsolicited robocalls and text messages offering free incentives like groceries or housing to enroll in health insurance, then requesting personal and financial information to "confirm eligibility." KC Care warns consumers to avoid these scams by only initiating enrollment themselves and working with licensed, trained insurance navigators rather than responding to unsolicited contacts, with free navigator services available through official channels like GetCovered.org (Kansas) and ShowMeCoverage.org (Missouri).