Plan would bar Medicaare aid to dual-insured


WASHINGTON -- In an effort to shift federal costs to private health insurers, the Bush administration is proposing new measures to compel Medicare beneficiaries to file claims with any private insurers before the government pays anything for services provided by doctors or hospitals.

That is what they are supposed to do under current law, but in practice Medicare pays many claims that have already been paid by private insurers or should have been.

Several million of the 30 million elderly people enrolled in Medicare are also employed and have private health insurance through their employers.

To guarantee that people with both Medicare and private health insurance use the private coverage first, the Office of Management and Budget wants to create a giant computer clearinghouse with information on the health insurance coverage of all Americans.

Before paying claims for Medicare, Medicaid or veterans' health benefits, the government would check the computer to see if a person had private health insurance to cover any of the cost.

The proposal, intended to save $600 million to $1 billion a year, is one of many approved by the budget office this week for inclusion in President Bush's 1992 budget, to be proposed to Congress in early February.

Confidential budget documents show that the budget office, headed by Richard G. Darman, is proposing a wide range of cutbacks and savings in Medicare and Medicaid beyond those recently approved by Congress in a 5-year "deficit reduction" plan.

The proposals are estimated to be able to save $2.9 billion in 1992 and $19.6 billion over 5 years. There is no indication of how Mr. Bush would use the savings.

Under current law, Medicare is not supposed to pay for an item or service if payment "has been or could be made" under an employer's group health plan, under workers' compensation or under an auto insurance policy.

Medicare claim forms ask patients if they have private health insurance.

Patients, doctors and hospitals are supposed to file claims first with private insurers, using Medicare as a secondary source to help pay medical bills not covered by an employer's health plan.

In practice, however, patients often fail to disclose their private insurance, so Medicare erroneously pays some claims already paid by private insurers, or it pays claims that should be paid by private insurers.

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