Medicare Advantage, run by private insurance companies, is an alternative to traditional Medicare. Originally conceived as a way to rein in healthcare costs, the government now pays Medicare Advantage companies nearly $200 billion a year to cover some 19 million seniors. Yet, according to the federal government, nearly 10% of the payments to those private insurance companies are "improper." It's suspected many of those improper payments are the result of fraud. Now, several whistleblower lawsuits allege that some Medicare Advantage insurance companies are systematically bilking the government of billions, all part of their business model. Playing by the Rulesinvestigates the business practices which are said to be behind the alleged fraud.
Duration: 26 minutes and 46 seconds
Episode Number: 203
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The three-part documentary series PLAYING BY THE RULES: ETHICS AT WORK examines how ethics play a major role in contemporary business practices and challenges viewers to think about what they would do in these situations.
From debating whether or not to act on insider information, choosing between employee well-being or shareholder obligations, or disclosing a rare but potentially fatal side effect of a newly manufactured drug-ethical decision making is a critical skill.
But even the most moral character can be influenced in ethical gray areas.
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