U.S. Sen. Kay Hagan says a North Carolina initiative and software sold by a Cary company could save billions in wasted and fraudulent health care expenses.
Hagan was speaking on the Senate floor Tuesday in support of an amendment to the health care reform package that is meant to lower costs by preventing fraud and waste.
Hagan spoke in favor of a program meant to catch Medicare and Medicaid fraud before payments are made, rather than having investigators try to recover spent money. SAS has written software that would catch irregularities that suggest fraud before payments are made, she said.
Hagan also spoke in favor of bringing a state program to the national level. ChecKmeds NC, a program of the N.C. Health and Wellness Trust Fund, provides free consultation with seniors about their medications. The cost of patients not following doctors' orders on medications is $290 billion a year, Hagan said.
In the state's program, seniors bring all their vitamins, prescriptions and over-the-counter medications to a participating pharmacist who offers a review and consultation.
Pharmacists discuss ways to save money by switching medications or potential problems and pitfalls with combinations of medications. Hagan said the program, which served 15,000 seniors in 2007, saved $10 million and avoided countless health care problems.