Medical Equipment Rental Business

What cuts would you make in Medicare that would not hurt Medicare beneficiaries?
If you were running the program, how would you save money?
Here are a couple of examples to consider:
1. Eliminate the middleman in claims processing. Have Medicare clams processed directly by HHS employees and not contract this business out to private insurance companies.
2. Stop the practice of paying outrageous rental fees for durable medical equipment like wheelchairs, feeding pumps, specialty to beds used in treating pressure sores, etc. Buy these items outright, and when the patient no longer needs them, transfer them to another patient.
What are your ideas?
1. limit emergency visits per year before they have to pay out of pocket unless they are related to something like asthma, etc. this is more of a medicaid thing than medicare, poor people go to the emergency room every time they have a runny nose, and many narcotic addicts go every week to get more vicodin and it costs $500 to 1000 per visit. here is a good example:
http://www.nydailynews.com/news/us_world/2009/04/02/2009-04-02_nine_individuals_responsible_for_nearly_.html
2. get rid of anti fraud measures such as tamper proof rxs, and doing a bunch of paperwork every time someone’s diabetic testing frequency changes. its a pain in the butt, it takes people a week or two to get their diabetic test strips, and it does little to prevent fraud. none of the private insurance companies make you do stuff like that.
3. make steep financial incentives/penalties to make people lose weight and stop smoking etc. obesity and smoking probably cost our country hundreds of billions a year in preventable illness
among many other things which is why im adamently opposed to reform. rather than trying to fix what they have the goverment wants to cover 70 million more people with a wasteful and inefficent system. if you divide out medcaid/medicare budgets per people covered it comes out to like $20,000 per person per year
Miami Hospital Equipment Coral Reef Medical Supply
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