George F. Grob /s/ 
Deputy Inspector General 
for Evaluation and Inspections 
Performance Data for the Senior Medicare Patrol Projects: August 2001 Performance Report

(OEI-02-01-00301)

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 for the Senior Medicare Patrol Projects. The attachments present

cumulative performance data from the beginning of each project.  Attachment A contains 48

months of data for the 12 original projects. Attachment B reflects the status after the first 24

months for 29 of the projects. Attachment C presents performance data for the first 12

months of 7 new projects. Please note that the project data are self-reported and that we have

not independently verified their accuracy.

In summary, the 48 Senior Medicare Patrol Projects have trained 22,188 volunteers.  The

volunteers in-turn have conducted 74,802 training sessions reaching 484,071 beneficiaries. 

The beneficiaries have reported 13,388 complaints, of which 3,142 have been referred for

follow-up. To date, closed complaints have resulted in the recoupment of $2,896,679 in

Medicare funds and $61,631,137 to other payors.

The Centers for Medicare & Medicaid Services plans to begin implementation of a complaint

tracking system for the Senior Medicare Patrol Projects in September 2001. This is a

significant event which should greatly enhance the projects abilities to report savings. As

stated in past reports, 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, may be derived from a sentinel effect whereby

fraud and errors are reduced in light of Medicare beneficiaries scrutiny of their bills.

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
 APPENDIX A 
48-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  1,076  75  28  127  21  139  72  27  11  459  50  10  57 
# trainers trained  15,913  1,385  165  1,321  243  957  482  104  484  9,757  119  245  651 
# media events  12,741  162  812  501  79  186  387  57  986  286  48  6,154  3,083 
# community education events  3,295  18  50  451  192  591  473  128  152  774  276  48  142 
OUTCOMES 
total # trainers who have ever  4,360  317  82  DK  239  27  161  104  358  2,855  64  23  130 
conducted activities 
# group sessions  6,110  1,039  206  808  1,185  286  490  113  357  673  466  211  276 
# beneficiaries at group sessions  243,023  50,605  7,480  25,770  43,614  14,148  10,324  6,286  7,951  25,355  38,184  4,676  8,630 
# one-on-one sessions  23,702  624  0  157  444  6,612  530  2,761  9,502  2,583  375  DK  114 
total # beneficiaries educated  266,725  51,229  7,480  25,927  44,058  20,760  10,854  9,047  17,453  27,938  38,559  4,676  8,744 
estimated # people reached by 71,580,199  6,949,132  1,521,183  5,692,220  10,673,350  764,969  493,088  221,000  1,190,000  700,222  10,569,000  12,753,800  20,052,235 
media events 
estimated # people reached by 8,695,769  20,259  10,978  39,652  10,001  46,421  18,976  238,785  16,277  251,668  8,009,200  16,673  16,879 
community education events 
# complaints received  9,310  661  63  851  301  996  289  23  4,741  356  868  40  121 
# complaints referred for 1,479  199  16  362  84  192  139  21  83  193  96  35  59 
follow-up 
# complaints resulting in some 490  42  0  29  1  103  55  DK  32  163  39  5  21 
action 
Medicare $ recouped  2,730,422  1,316,832  0  1,145,819  0  DK  109,997  0  0  6,533  144,339  DK  6,922 
Other $ recouped  61,501,396  73,214  0  59,592  146,485  DK  15,805  359,637  29,345  60,801,200  1,935  DK  14,184 
Total $ recouped  64,231,839  1,390,046  0  1,205,410  146,485  0  1,258,020  359,637  29,345  60,807,733  146,274  0  21,106 
*Pending documentation of actual recoupments 
APPENDIX B   24-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  1,000  43  22  10  22  18  7  10  1  20  15  15  25  69  2 
# trainers trained  5,177  75  206  124  45  152  119  47  17  166  104  640  284  95  32 
# media events  8,242  40  79  23  441  35  731  26  3  1,702  930  1  9  143  9 
# community education events  2,895  45  132  55  229  63  199  27  20  58  81  2  142  85  12 
OUTCOMES 
total # trainers who have ever conducted  2,099  65  281  26  45  25  13  41  14  39  58  108  103  34  1 
activities 
# group sessions  4,421  25  212  67  202  271  92  90  26  170  92  182  364  322  2 
# beneficiaries at group sessions  173,426  706  4,204  6,256  14,537  9,622  2,974  3,107  506  4,350  2,245  5,553  12,750  10,851  88 
# one-on-one sessions  39,376  1,817  169  35  45  94  133  10  114  41  14  114  41  97  0 
total # beneficiaries educated  212802  2,523  4,373  6,291  14,582  9,716  3,107  3,117  620  4,391  2,259  5,667  12,791  10,948  88 
estimated # people reached by media  149,788,856  94,570  1,486,525  420,300 1,052,680  838,532  352,355  920,000  250,000  615,000  1,739,027  1,000  308,401  800,450  70,000 
events 
estimated # people reached by 777,885  24,700  10,822  5,821  24,869  6,782  9,738  178,000  4,912  123,357  127,790  530  10,262  1,722  90 
community education events 
# complaints received  4,009  331  35  18  669  68  28  181  0  66  95  0  22  360  2 
# complaints referred for follow-up  1,648  8  23  8  120  14  21  36  0  5  4  0  13  267  2 
# complaints resulting in some action  788  3  2  DK  16  DK  0  4  0  0  0  0  1  130  0 
Medicare $ recouped  156,017  0  0  DK  0  153  162  252  0  0  0  0  0  10,970  0 
Other $ recouped  129,633  13,194  0  DK  618  3,450  0  0  0  0  0  0  0  45,864  0 
Total $ recouped  285,651  13,194  0  0  618  3,603  162  252  0  0  0  0  0  56,834  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 
APPENDIX B  24-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 
# training sessions  43  27  30  8  6  43  6  4  55  17  14  31  7  20  411 
# trainers trained  171  138  466  42  163  68  113  37  356  264  214  109  50  410  487 
# media events  178  82  3  2,537  192  42  68  27  252  52  14  65  3  133  425 
# community education events  127  211  23  77  138  53  86  97  32  428  49  127  24  161  132 
OUTCOMES 
total # trainers who have ever  57  70  66  61  39  37  43  11  63  8  100  48  16  154  487 
conducted activities 
# group sessions  199  61  134  48  40  40  160  10  72  31  60  162  26  495  792 
# beneficiaries at group sessions  5,169  1,972  8,326  861  698  1,764  6,364  2,416  2,066  688  1,150  6,242  710  17,482  40,275 
# one-on-one sessions  1,700  179  0  59  1,311  24  677  6  23  5  150  567  71  0  31,994 
total # beneficiaries educated  6,869  2,151  8,326  920  2,009  1,788  7,041  2,422  2,089  693  1,300  6,809  781  17,482  72,269 
estimated # people reached by media  179,360  2,463,932  1,100  919,510  752,500  4,200,936  1,915,775  83,992 118,000,000  1,850,000  787,000  2,738,400  1,700  2,973,253  4,222,558 
events 
estimated # people reached by 9,366  9,498  2,493  1,644  16,916  7,570  16,158  10,174  12,328  13,914  5,032  8,825  3,000  68,220  68,264 
community education events 
# complaints received  130  41  148  59  88  154  33  24  54  1,072  37  65  16  166  47 
# complaints referred for follow-up  38  26  50  1  46  16  20  18  18  700  2  25  11  132  24 
# complaints resulting in some action  DK  8  DK  0  53  2  0  0  5  528  0  13  2  DK  21 
Medicare $ recouped  DK  DK  17,320  0  5,102  787  0  0  DK  DK  0  0  0  DK  121,272 
Other $ recouped  34,762  DK  7,026  0  11,932  3,723  0  0  DK  DK  0  86  4,485  DK  4,493 
Total $ recouped  34,762  DK  24,346  0  17,034  4,510  0  0  0  0  0  86  4,485  0  125765 
Please note these distinctions: 
5. Baylor University, TX  6. The National Hispanic Council on Aging, TX  APPENDIX C 
12-Month Outcomes Reported by the Senior Medicare Patrol Projects

Activity  TOTAL  LA  MS  NC  NE  SC  SD  WY 
OUTPUTS 
# training sessions  134  5  10  99  12  5  1  2 
# trainers trained  1,081  45  51  602  231  79  19  54 
# media events  49  21  4  4  11  0  0  9 
# community education events  128  20  52  34  21  1  0  0 
OUTCOMES 
total # trainers who have ever  169  18  6  9  114  10  2  10 
conducted activities 
# group sessions  128  39  52  5  27  0  2  3 
# beneficiaries at group sessions  2,999  546  1,484  67  692  0  125  85 
# one-on-one sessions  925  33  820  4  59  1  0  8 
total # beneficiaries educated  3,924  579  2,304  71  751  1  125  93 
estimated # people reached by 880,409  250,300  113,109  90,000  327,000  0  0  100,000 
media events 
estimated # people reached by 8,605  1,026  2,818  1,100  3,061  600  0  0 
community education events 
# complaints received  69  22  22  11  5  3  0  6 
# complaints referred for follow-up  15  1  0  2  5  2  0  5 
# complaints resulting in some 4  0  0  1  0  0  0  3 
action 
Medicare $ recouped  10,240  0  0  140  0  0  0  10,100 
Other $ recouped  108  0  0  108  0  0  0  0 
Total $ recouped  10,348  0  0  248  0  0  0  10,100