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  GAO: White House Violated Law on Medicare
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ContributorArmyDem 
Last EditedArmyDem  Sep 29, 2004 12:41pm
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MediaWebsite - Yahoo News: Iran
News DateWednesday, September 29, 2004 06:00:00 AM UTC0:0
DescriptionTue Sep 28,11:35 PM ET

WASHINGTON - The Bush administration violated the law by allowing private insurers to limit choices of some patients in a small trial program of managed health care under Medicare, congressional investigators said.

Preferred provider organizations, which offer members a network of discounted health care providers, have enrolled 105,000 Medicare beneficiaries in 19 states.

In some cases, insurers refused to pay claims for home health visits, nursing care, dental work, routine physicals and other services obtained from providers who were not part of the PPO network, the Government Accountability Office said.

"By law, these plans should have been required to cover all services in their benefit packages even if those services were obtained from providers outside the plans' provider networks," GAO said.

The administration was wrong to waive the requirement, GAO said.
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