Monday, February 6, 2023
Hawai'i Free Press

Current Articles | Archives

Thursday, January 26, 2017
Medicare Overbilling: Hawaii ranks 16th
By News Release @ 1:14 AM :: 4830 Views :: Hawaii Statistics, Health Care

Top 10 States with Highest Medicare Waste

Waste Chief Reason Medicare Predicted to be Bankrupt by 2028

News Release from Council for Medicare Integrity, January 18, 2017

Washington, D.C. – The Council for Medicare Integrity (CMI) today released an analysis of improper payments made within the Medicare Fee-For-Service (FFS) program. The analysis looks at the amount of Medicare overpayments collected from providers by Recovery Audit Contractors in each state in FY2015 and crosses that data with the number of Medicare beneficiaries in each state in 2015, to arrive at an amount of taxpayer dollars wasted per beneficiary in each state.

Medicare overpayments are generally made when a provider misbills the program for the services they provided to a patient, most often billing to a code that pays out at a higher rate than what’s approved.

“Medicare loses more money to improper payments than any other program government wide – more than $43 billion was lost from the program this way in FY2015 alone,” said Kristin Walter, spokesperson for the Council for Medicare Integrity. “These improper payments are causing Medicare to hemorrhage billions of dollars desperately needed to help sustain the program. Medicare Trustees now predict that at current spending levels and with the expected influx of new beneficiaries, Medicare will be bankrupt by 2028. It’s more important than ever that everyone become aware of this problem and that work is done to drastically reduce improper payments in Medicare to sustain the program for those who will need it in the future.”

In tabulating the data, CMI found that for the second year in a row, the District of Columbia ranked highest in the United States for Medicare waste per beneficiary, with $30.90 wasted per Medicare beneficiary. This is especially surprising because the District of Columbia has the nation’s smallest number of Medicare beneficiaries, according to the Centers for Medicare and Medicaid Services (CMS). In reviewing the data, CMI found that the District of Columbia wasted more than double the amount per beneficiary than the lowest ranked state on the list – Arkansas.


The amount of Medicare overpayments (among Part A and Part B claims) per state are pulled from the recently released CMS report, Recovery Auditing in Medicare for Fiscal Year 2015. CMS has also provided data regarding the number of Medicare beneficiaries in each state.

Interestingly, Delaware, also among the states with the least number of Medicare beneficiaries, ranked among the top 10 states with the highest Medicare waste per beneficiary.

Some states on the list were also among those ranked highest for Medicare waste per beneficiary the previous year:

  • The District of Columbia ranked 1st in both FY2014 and FY2015,
  • Arkansas moved from 2nd in FY2014 to 10th place in FY2015,
  • Louisiana moved from 5th in FY2014 to 7th place in FY2015,
  • Oklahoma moved up one spot from its previous 6th-place ranking, and
  • Texas moved up five spots from 8th in FY2014 to 3rd place in FY2015.

Additionally, Mississippi, North Dakota, Colorado, New Mexico and South Dakota appeared on the 2014 ranking but improved and are no longer found among the top ten states for Medicare waste in FY2015.

The full amount of Medicare improper payments per beneficiary per state is likely much higher, as this report looks solely at overpayments identified by the Recovery Audit Contractor Program (RAC), which reviews a very small percentage of a provider’s Medicare Part A and Part B post-payment claims to identify improper payments and either return overpayments back to the Medicare Trust Funds or identify underpayments and ensure the provider is paid the correct amount for their services.

“The auditing of Medicare claims to recover improper payments is more necessary than ever to ensure the program will still be in place when beneficiaries need it in the future,” said Walter. “Ask your Members of Congress to support the RAC program’s vital work to prevent the waste of your taxpayer dollars.”

Congress created the RAC program to review post-payment Medicare FFS claims and recover funds that are inappropriately paid out from the Medicare Trust Fund. Since auditing began, RACs have returned more than $10 billion back to the Medicare Trust Fund all while reviewing less than 2 percent of a provider’s Medicare claims.

“Each state must do their part to activate and curb Medicare mis-billing,” said Walter. “If all entities involved made eradicating waste a priority, we would not have to worry about losing this vital program in 2028.”

For more information, please visit:

All States Medicare Waste 2015

All States Medicare Waste 20152

About the Council for Medicare Integrity

The Council for Medicare Integrity is a 501(c)(6) non-profit organization. The Council’s mission is to educate policymakers and other stakeholders regarding the importance of healthcare integrity programs that help Medicare identify and correct improper payments.


PBN: Where does Hawaii rank when it comes to Medicare waste? Here's the breakdown


TEXT "follow HawaiiFreePress" to 40404

Register to Vote


808 Silent Majority

ACA Signups Hawaii

Alliance Defending Freedom

Aloha Pregnancy Care Center

American Council of Trustees and Alumni


Antonio Gramsci Reading List

A Place for Women in Waipio

Astronomy Hawaii

Back da Blue Hawaii

Ballotpedia Hawaii

Better Hawaii

Broken Trust

Build More Hawaiian Homes Working Group

Christian Homeschoolers of Hawaii

Cliff Slater's Second Opinion

DVids Hawaii


Fix Oahu!

Frontline: The Fixers

Genetic Literacy Project

Grassroot Institute

Hawaii Aquarium Fish Report

Hawaii Aviation Preservation Society

Hawaii Catholic TV

Hawaii Christian Coalition

Hawaii Cigar Association

Hawaii Coalition Against Legalized Gambling

Hawaii ConCon Info

Hawaii Credit Union Watch

Hawaii Crop Improvement Association

Hawaii Debt Clock

Hawaii Defense Foundation

Hawaii Family Forum

Hawaii Farmers and Ranchers United

Hawaii Farmer's Daughter

Hawaii Federalist Society

Hawaii Federation of Republican Women

Hawaii Future Project

Hawaii Gathering of Eagles

Hawaii History Blog

Hawaii Homeschool Association

Hawaii Jihadi Trial

Hawaii Legal News

Hawaii Legal Short-Term Rental Alliance

Hawaii Matters

Hawaii's Partnership for Appropriate & Compassionate Care

Hawaii Public Charter School Network

Hawaii Rifle Association

Hawaii Shippers Council

Hawaii Smokers Alliance

Hawaii State Data Lab

Hawaii Together



Hiram Fong Papers

Homeschool Legal Defense Hawaii

Honolulu Navy League

Honolulu Traffic

House Minority Blog

Imua TMT

Inouye-Kwock, NYT 1992

Inside the Nature Conservancy

Inverse Condemnation

Investigative Project on Terrorism

July 4 in Hawaii

Kakaako Cares

Keep Hawaii's Heroes

Land and Power in Hawaii

Legislative Committee Analysis Tool

Lessons in Firearm Education

Lingle Years

Malulani Foundation

Managed Care Matters -- Hawaii

Malama Pregnancy Center of Maui

Military Home Educators' Network Oahu

Missile Defense Advocacy

MIS Veterans Hawaii

NAMI Hawaii

National Christian Foundation Hawaii

National Parents Org Hawaii

NFIB Hawaii News

No GMO Means No Aloha

Not Dead Yet, Hawaii

NRA-ILA Hawaii

Oahu Alternative Transport


OHA Lies

Opt Out Today

Patients Rights Council Hawaii

PEACE Hawaii

People vs Machine

Pritchett Cartoons

Pro-GMO Hawaii


Rental by Owner Awareness Assn

ReRoute the Rail

Research Institute for Hawaii USA

Rick Hamada Show

RJ Rummel

Robotics Organizing Committee

Save Dillingham Airfield

School Choice in Hawaii

Sink the Jones Act

Statehood for Guam

Talking Tax

Tax Foundation of Hawaii

The Real Hanabusa

Time Out Honolulu

Trustee Akina KWO Columns

UCC Truths

US Tax Foundation Hawaii Info

VAREP Honolulu

West Maui Taxpayers Association

What Natalie Thinks

Whole Life Hawaii