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Performance Data |
George Grob /s/ Deputy Inspector General for Evaluation and Inspections Performance Data for the Senior Medicare Patrol Projects: March 2001 Report (OEI-02-01-00300) Edwin Walker, Director Office of Program Operations and Development Administration on Aging At the request of the Administration on Aging (AoA), we have continued to collect performance data from the 41 existing and the 7 new Senior Medicare Patrol Projects. The attachments present cumulative performance data from the beginning of each project. Attachment A contains 42 months of data for the 12 original projects. Attachment B reflects the status after the first 18 months for 29 of the projects. Attachment C presents performance data for the first 6 months of 7 new projects. Please note that each project self-reports its own data and that we have not independently verified their accuracy. In summary, the 48 Senior Medicare Patrol projects have trained over 17,000 volunteers who have educated a total of 380,000 beneficiaries. They have also reached millions of people through media and community education events. We estimate that their efforts have resulted in about $2.7 million in recouped Medicare funds. The HCFA is working with AoA to improve the tracking and reporting of these savings. As previously reported, we expect a significant number of the beneficiaries who have learned to detect fraud, waste, and abuse from the Senior Medicare Patrol Projects, are calling the OIG fraud hotline or other contacts, thereby, not giving the projects their full credit. Also, substantial savings, which cannot be tracked effectively, may be derived from a sentinel effect whereby fraud and errors are reduced in light of Medicare beneficiaries' scrutiny of their bills. In the first 6 months of the new grant period, the original 12 Senior Medicare Patrol Projects have successfully continued their mission of educating beneficiaries about fraud, waste, and abuse. Since the inception of these projects in July 1997, they have recruited and trained over 14,000 volunteers who have educated approximately 232,000 Medicare beneficiaries. They have generated 2,770 media events and conducted 2,748 community education events. Most notably, 312 of the 8,108 complaints received warranted actions resulting in the identification of $2.6 million in Medicare funds recouped. Page 2 - Edwin Walker The 29 Senior Medicare Patrol Projects which have operated for 18 months are also accomplishing a great deal through their efforts. More than 3,200 trainers have educated 150,000 beneficiaries. In addition, they have promoted 4,200 media and community education events. These projects have referred 1,160 of the 2,671 complaints received. Nearly 60% (681) of those referred resulted in action. A total of $85,387 in Medicare funds recouped can be documented at this time, although we believe that the actual amount identified through these efforts is much higher. Four of the seven new projects submitted performance data reflecting their training activities. The other three remain in the planning stage, and have no numbers to report as of December 31, 2000. The four projects trained 154 volunteers who have educated 363 beneficiaries. They have conducted 46 media and community education events. Complaints received from 23 beneficiaries resulted in 2 actions taken. One of these identified an erroneous charge of $10,100, detected before Medicare made the payment. We will continue to monitor the projects and provide you with summary reports of performance data. If you have any questions, please call me at (202) 619-0480 or have your staff call Jack Molnar at (212) 264-1998. Attachments |
42-Month Outcomes Reported by the Senior Medicare Patrol Projects | |||||||||||||
Activity |
TOTAL |
CA |
HI |
IA |
IL |
MD |
MN |
MO |
NH |
NY |
PA |
RI |
WI |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
OUTPUTS |
|||||||||||||
# training sessions |
902 |
67 |
19 |
72 |
19 |
99 |
52 |
17 |
10 |
447 |
44 |
9 |
47 |
# trainers trained |
14,472 |
1,017 |
162 |
936 |
235 |
930 |
332 |
82 |
348 |
9,572 |
105 |
228 |
525 |
# media events |
2,770 |
158 |
74 |
396 |
74 |
154 |
293 |
54 |
980 |
267 |
45 |
139 |
136 |
# community education events |
2,748 |
9 |
45 |
335 |
138 |
533 |
301 |
111 |
131 |
730 |
270 |
35 |
110 |
OUTCOMES |
|||||||||||||
total # trainers who have ever conducted activities |
4,191 |
292 |
65 |
DK |
235 |
74 |
92 |
82 |
344 |
2,817 |
50 |
23 |
117 |
# group sessions |
5,197 |
920 |
152 |
654 |
1,101 |
167 |
348 |
96 |
336 |
619 |
372 |
201 |
231 |
# beneficiaries at group sessions |
213,760 |
45,804 |
6,298 |
21,233 |
40,615 |
10,092 |
7,543 |
5,122 |
7,441 |
24,869 |
33,314 |
4,390 |
7,039 |
# one-on-one sessions |
18,078 |
607 |
0 |
115 |
444 |
4,916 |
350 |
1,270 |
7,496 |
2,392 |
375 |
DK |
113 |
total # beneficiaries educated |
231,838 |
46,411 |
6,298 |
21,348 |
41,059 |
15,008 |
7,893 |
6,392 |
14,937 |
27,261 |
33,689 |
4,390 |
7,152 |
estimated # people reached by media events |
47,122,273 |
6,535,510 |
771,183 |
2,000,000 |
10,665,000 |
528,669 |
195,648 |
188,000 |
1,130,000 |
688,228 |
10,546,200 |
8,811,300 |
5,062,535 |
estimated # people reached by community education events |
8,646,233 |
11,459 |
5,978 26,521 |
26,521 |
8,205 |
37,553 |
13,411 |
237,621 |
15,767 |
250,276 |
8,009,000 |
14,768 |
15,674 |
# complaints received |
8,108 |
607 |
24 |
776 |
206 |
812 |
185 |
19 |
4,721 |
196 |
440 |
31 |
91 |
# complaints referred for follow-up |
1,190 |
182 |
6 |
349 |
73 |
140 |
106 |
17 |
74 |
70 |
94 |
30 |
49 |
# complaints resulting in some action |
312 |
35 |
0 |
24 |
DK |
101 |
26 |
DK |
23 |
43 |
34 |
5 |
21 |
Medicare $ recouped |
2,614,994 |
1,315,119 |
0 |
1,145,767 |
DK |
DK |
109,997 * |
DK |
0 |
3,008 |
144,179 |
DK |
6,922 |
Other $ recouped |
48,419,638 |
38,787 |
0 |
58,691 |
146,485 |
DK |
15,805 |
213,346 |
29,345 |
47,901,200 |
1,835 |
DK |
14,143 |
Total $ recouped |
51,034,632 |
1,353,906 |
0 |
1,204,457 |
146,485 |
0 |
15,805 |
213,346 |
29,345 |
47,904,208 |
146,014 |
0 |
21,065 |
* Pending documentation of actual recoupments
18-Month Outcomes Reported by the Senior Medicare Patrol Projects |
|||||||||||||||
Activity |
TOTAL |
AK |
AL |
AR |
AZ |
CO |
CT |
DC1 |
DC2 |
DE |
FL |
GA3 | GA4 |
ID |
IN |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
OUTPUTS |
|||||||||||||||
# training sessions |
511 |
40 |
15 |
2 |
22 |
16 |
6 |
9 |
0 |
13 |
8 |
11 |
15 |
17 |
0 |
# trainers trained |
3,204 |
62 |
143 |
27 |
45 |
139 |
101 |
40 |
0 |
94 |
43 |
123 |
135 |
33 |
0 |
# media events |
2,397 |
35 |
63 |
17 |
396 |
19 |
23 |
16 |
0 |
910 |
41 |
1 |
6 |
142 |
1 |
# community education events |
1,803 |
36 |
93 |
47 |
135 |
55 |
107 |
25 |
15 |
45 |
46 |
2 |
59 |
28 |
2 |
OUTCOMES |
|||||||||||||||
total # trainers who have ever conducted activities |
1,401 |
55 |
57 |
8 |
12 |
22 |
6 |
14 |
5 |
35 |
21 |
87 |
52 |
23 |
0 |
# group sessions |
2,783 |
20 |
108 |
38 |
70 |
203 |
41 |
54 |
14 |
82 |
31 |
108 |
257 |
226 |
0 |
# beneficiaries at group sessions |
124,629 |
494 |
2,953 |
5,206 |
13,446 |
7,481 |
951 |
2,148 |
245 |
2,011 |
1,061 |
3,023 |
8,822 |
6,791 |
0 |
# one-on-one sessions |
25,643 |
1,407 |
138 |
20 |
42 |
82 |
4 |
10 |
110 |
4 |
87 |
48 |
3 |
53 |
0 |
total # beneficiaries educated |
150,272 |
1,901 |
3,091 |
5,226 |
13,488 |
7,563 |
955 |
2,158 |
355 |
2,015 |
1,148 |
3,071 |
8,825 |
6,844 |
0 |
estimated # people reached by media events |
24,232,696 |
80,370 |
1,395,450 |
192,300 |
52,680 |
462,366 |
284,547 |
285,000 |
0 |
375,000 |
2,251,018 |
1,000 |
29,533 |
400,450 |
0 |
estimated # people reached by community education events |
467,095 |
2,200 |
5,415 |
3,475 |
16,789 |
6,439 |
5,754 |
174,000 |
1,412 |
121,702 |
13,994 |
530 |
6,780 |
1,122 |
0 |
# complaints received |
2,671 |
326 |
29 |
6 |
440 |
56 |
16 |
92 |
0 |
50 |
42 |
0 |
12 |
218 |
0 |
# complaints referred for follow-up |
1,160 |
4 |
17 |
4 |
46 |
8 |
10 |
|
0 |
2 |
7 |
0 |
3 |
147 |
0 |
# complaints resulting in some action |
681 |
2 |
2 |
DK |
1 |
DK |
1 |
3 |
0 |
0 |
1 |
0 |
1 |
84 |
0 |
Medicare $ recouped |
85,387 |
0 |
0 |
0 |
0 |
0 |
162 |
0 |
0 |
0 |
0 |
0 |
0 |
10,970 |
0 |
Other $ recouped |
81,649 |
12,414 |
0 |
0 |
618 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
22,705 |
0 |
Total $ recouped |
167,036 |
12,414 |
0 |
0 |
618 |
0 |
162 |
0 |
0 |
0 |
0 |
0 |
0 |
33,675 |
0 |
Please note these distinctions:
1. The AARP Foundation, DC
2. Friendship House, DC
3. Atlanta Regional Commission, GA
4. Department of Human Resources, GA
18-Month Outcomes Reported by the Senior Medicare Patrol Projects |
|||||||||||||||
Activity |
MA |
ME |
M I |
MT |
NM |
NV |
OH |
OK |
OR |
PR |
TX5 | TX6 |
UT |
VA |
WA |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
OUTPUTS |
|||||||||||||||
ing sessions |
25 |
17 |
24 |
4 |
4 |
35 |
3 |
2 |
48 |
8 |
9 |
15 |
5 |
15 |
123 |
# trainers trained |
158 |
110 |
289 |
31 |
102 |
41 |
63 |
16 |
289 |
79 |
154 |
46 |
45 |
339 |
457 |
# media events |
133 |
71 |
3 |
32 |
27 |
28 |
47 |
2 |
16 |
25 |
9 |
37 |
3 |
111 |
183 |
# community education events |
73 |
138 |
5 |
50 |
55 |
30 |
61 |
47 |
12 |
333 |
29 |
76 |
13 |
110 |
76 |
OUTCOMES |
|||||||||||||||
total # trainers who have ever conducted activities |
45 |
45 |
31 |
28 |
18 |
819 |
41 |
7 |
45 |
3 |
88 |
31 |
11 |
135 |
457 |
# group sessions |
127 |
23 |
89 |
12 |
19 |
23 |
121 |
2 |
44 |
0 |
56 |
82 |
15 |
328 |
590 |
# beneficiaries at group sessions |
3,790 |
1,130 |
4,933 |
247 |
594 |
1,185 |
5,026 |
1,168 |
1,640 |
0 |
1,075 |
2,125 |
350 |
10,556 |
35,718 |
# one-on-one sessions |
1,375 |
112 |
0 |
6 |
367 |
20 |
357 |
2 |
23 |
5 |
135 |
277 |
57 |
0 |
20,899 |
total # beneficiaries educated |
5,165 |
1,242 |
4,933 |
253 |
961 |
1,205 |
5,383 |
1,630 |
1,663 |
5 |
1,210 |
2,402 |
407 |
10,556 |
56,617 |
estimated # people reached by media events |
166,650 |
2,202,351 |
1,100 |
82,210 |
242,500 |
3,532,832 |
1,275,002 |
20,100 |
2,364,650 |
850,000 |
630,000 |
2,412,000 |
1,700 |
2,108,453 |
2,533,434 |
estimated # people reached by community education events |
5,027 |
6,587 |
1,650 |
1,232 |
10,816 |
2,817 |
8,196 |
3,951 |
11,144 |
5,000 |
4,000 |
4,349 |
2,900 |
22,287 |
17,527 |
# complaints received |
65 |
29 |
129 |
6 |
63 |
81 |
8 |
6 |
28 |
710 |
35 |
38 |
7 |
135 |
44 |
# complaints referred for follow-up |
7 |
20 |
44 |
0 |
37 |
11 |
1 |
6 |
14 |
600 |
0 |
11 |
0 |
105 |
23 |
# complaints resulting in some action |
DK |
7 |
DK |
0 |
28 |
2 |
0 |
0 |
4 |
520 |
0 |
5 |
0 |
DK |
20 |
Medicare $ recouped |
DK |
DK |
17,269 |
0 |
4,927 |
787 |
0 |
0 |
DK |
DK |
0 |
0 |
0 |
DK |
51,272 |
Other $ recouped |
34,762 |
DK |
2,466 |
0 |
382 |
3,723 |
0 |
0 |
DK |
DK |
0 |
86 |
0 |
DK |
4,493 |
Total $ recouped |
34,762 |
0 |
19,735 |
0 |
5,309 |
4,510 |
0 |
0 |
0 |
0 |
0 |
86 |
0 |
0 |
55,765 |
Please note these distinctions:
1. Baylor University, TX
2. The National Hispanic Council on Aging, TX
6-Month Outcomes Reported by the Senior Medicare Patrol Projects |
||||||||
Activity |
Total |
LA |
MS |
NC |
NE |
SC |
SD |
WY |
---|---|---|---|---|---|---|---|---|
OUTPUTS |
||||||||
ing sessions |
15 |
3 |
6 |
0 |
5 |
0 |
0 |
1 |
# trainers trained |
154 |
25 |
5 |
0 |
117 |
0 |
0 |
7 |
# media events |
19 |
11 |
2 |
0 |
2 |
0 |
0 |
4 |
# community education events |
27 |
5 |
22 |
0 |
0 |
0 |
0 |
0 |
OUTCOMES |
||||||||
total # trainers who have ever conducted activities |
20 |
12 |
1 |
0 |
0 |
0 |
0 |
7 |
# group sessions |
29 |
24 |
5 |
0 |
0 |
0 |
0 |
0 |
# beneficiaries at group sessions |
95 |
24 |
71 |
0 |
0 |
0 |
0 |
0 |
# one-on-one sessions |
268 |
0 |
263 |
0 |
1 |
0 |
0 |
4 |
total # beneficiaries educated |
363 |
24 |
334 |
0 |
1 |
0 |
0 |
4 |
estimated # people reached by media events |
277,109 |
75,000 |
107,109 |
0 |
45,000 |
0 |
0 |
50,000 |
estimated # people reached by community education events |
887 |
200 |
687 |
0 |
0 |
0 |
0 |
0 |
# complaints received |
23 |
10 |
10 |
0 |
1 |
0 |
0 |
2 |
# complaints referred for follow-up |
3 |
0 |
0 |
0 |
1 |
0 |
0 |
2 |
# complaints resulting in some action |
2 |
0 |
0 |
0 |
0 |
0 |
0 |
2 |
Medicare $ recouped |
10,100 |
0 |
0 |
0 |
0 |
0 |
0 |
10,100 |
Other $ recouped |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
Total $ recouped |
10,100 |
0 |
0 |
0 |
0 |
0 |
0 |
10,100 |