Fraud in Medicaid constitutes a scam amounting to more than a billion dollars and a newly installed computer system is assisting to ferret out the criminals. As per Kaiser, about $28 billion is paid by Texas to provide care for a population of 4.8 million.
One fourth of the total tab is picked up by the state. The rest is paid by the Federal Government. According to the Federal Bureau of Investigation (FBI), about 10 percent of the Medicaid claims are done under false pretenses. This amounts to approximately $2.8 billion per year in Texas only.
On August 4, 21CT, an Austin headquartered company, had launched a novel computer system which will bring such scammers into legal chains. The computer system has been named “Torch”.