Freeze the fraud—don’t freeze the care: Stop Enrolling the Truth
“Freeze the fraud, not the care” sounds like a targeted plan until you notice the workflow only knows one setting: OFF. If the villains…
“Freeze the fraud, not the care” sounds like a targeted plan until you notice the workflow only knows one setting: OFF. If the villains are “bad actors,” why does the “stop enrollment freeze” also slap new providers with “home health application—denied” and “hospice application—denied,” while pretending the lock is aimed at somebody else?
The honest incentive is simple: it’s easier to freeze paperwork than to triage individuals. Current providers can keep limping along, sure, while new enrollment gets frozen like we’re all waiting for the government to invent case-by-case judgment. And that’s how “prosecute fraud” turns into “don’t punish seniors who need care at home,” except the punishing part is baked into the calendar—where’s the functioning adult with the plan?
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