George Grob 
Deputy Inspector General for 
Evaluation and Inspections 
24-Month Performance Data for Senior Medicare Patrol Projects (OEI-02-97-00523)

Edwin Walker, Director

Office of Program Operations and Development

Administration on Aging

At the request of the Administration on Aging, we have continued to collect performance data

from the 12 senior Medicare patrol projects.  The attachment presents cumulative performance

data for the first 24 months on the projects.

We note a number of substantial increases in the performance data over the past 6-month

reporting period.  The total number of trainers has almost doubled from 3,700 to 6,300.  This

is due primarily to the efforts in Minnesota and New York.  We also note that the total number

of beneficiaries educated has almost doubled from 61,000 to 116,000.  This is due to increases

in virtually all States.  And while the total funds recouped has remained relatively constant,  the

number of complaints referred for follow-up and resulting in action have both increased 50

percent to 601 and 138, respectively.  Please note that the data contained in the attachment are

self reported, and that we have not verified their accuracy.  We believe that these data indicate

that the projects are perfecting their craft, that beneficiaries are responding, and that we can

anticipate increased savings in the future.  We will continue to monitor these projects and

provide you with 30-month 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.

Attachment 
  ATTACHMENT 
Senior Medicare Patrol Projects: 2-Year Outcomes 
State  RI  IL  PA  MD  CA  MO MN  IA  HI  WI NY  NH 
Projects  Aging  Sub. AAA  CARIE  MD SUA  CHA  Dist. 3  MN SUA  IA SUA  HI SUA  CWAG  NY SUA  NH SUA  TOTAL 
2000  AAA 
INPUTS 
$ recruiting retired professionals  20,000  67,680  35,000  0  21,846  67,824  30,918  0  19,380  0  19,134  64,080  345,862 
$ recruiting others  0  22,560  5,200  0  42,500  7,120  2,694  37,779  0  16,000  26,480  3,560  163,893 
$ training retired professionals  40,000  82,720  50,000  0  124,944  82,822  10,245  0  38,760  0  17,494  42,720  489,705 
$ training others  36,862  26,320  15,000  4,760  27,800  8,697  11,869  11,675  0  25,358  35,103  7,120  210,564 
$ support retired professionals  35,836  71,440  20,000  0  48,000  72,410  12,118  0  9,690  0  9,933  32,020  311,447 
$ support others  4,000  30,080  8,000  5,000  22,600  7,601  8,931  30,811  0  29,400  6,996  7,120  160,539 
$ community ed.  80,392  41,360  50,000  32,750  29,530  80,011  52,875  0  9,690  0  82,365  194,020  652,993 
$ tracking system  19,000  33,840  35,000  20,200  22,140  3,833  2,828  1,238  0  1,965  4,167  5,340  149,551 
Total $ spent  236,090  376,000  218,200  62,710  339,360  330,318  132,478  81,503  77,520  72,723  201,672  355,980  2,484,554 
$ received from other sources  0  22,000  120,000  0  0  0  793  0  0  10,000  0  0  152,793 
OUTPUTS

# sessions conducted to train trainers  6  9  30  2  30 10 22  18  12 45 301  4  489

# retired professionals trained  73  91 50  0  509  38  93  0  64  0  1,609  280  2,807

# of others trained  99  22  12  50  80  4  520  419  21  500  1,707  31  3,465

Total # of people trained  172  113  62  50  589  42  613  419  85  500  3,316  311  6,272

# media events  16  33  35 45  116 42 250  98  49 18 81 31  814

# community education activities  21  55  250  308  289  66  66  DK  27  85  404  68  1,639

OUTCOMES 
total # trainers who conducted activities  23  113  45  10  24  42  25  DK  34  45  1,060  5  1,426 
# group sessions by professionals  111  433  200  0  145  18  41  0  22  0  177  210  1,357 
# group sessions by others  35  28  50  25  144  48  54  234  55 103 117  37  930 
Total # sessions  146  461  250  25  289  66  95  234  77  103  294  247  2,287 
# of beneficiaries at ses. by professionals  2,572  20,408  15,000  0  16,000  423  875  0  629  0  5,694  1,706  63,307 
# of beneficiaries at ses. by others  372  514  5,000  4,182  10,050  1,585  1,701  10,310  3,325  2,709  6,314  1,275  47,337 
Total # of beneficiaries at sessions  2,944  20,922  20,000  4,182  26,050  2,008  2,576  10,310  3,954  2,709  12,008  2,981  110,644 
# of 1-on-1 by retired professionals  DK  116  200  0  236 479  3  0  0  0  448  2,280  3,762 
# of 1-on-1 by others  14  12  50  625  127  313  15  92  0  49  302  15  1,614 
Total of 1-on-1  14  128  250  625  363  792  18  92  0  49  750  2,295  5,376 
Total # of beneficiaries educated  2,958  21,050  20,250  4,807  26,413  2,800  2,594  10,402  3,954  2,758  12,758  5,276  116,020 
Est. # of people reached by media hits  2,193,300  4,425,724  8,000,000  100,000  2,500,000  65,000  126,950  6,684,675  262,900  153,135  543,300  925,000  25,979,984 
Est # of people reached by com ed.  5,803  5,038  25,000  25,000  26,050  65,000  7,953  DK  525  11,379  226,262  12,000  410,010 
# complaints received  18  178  75  271  363  13  14  495  5  32  129  4,670  6,263 
# complaints referred for action  18  44  60 59  100 11  3  226 DK 18 28 34  601 
# complaints resulting in action  DK  DK  15 59  6 DK  0  16 DK  7 27  8  138 
Medicare $ identified for recoupment  DK  DK  76,484  DK  22,000  DK  0  1,142,680  DK  1,972  3,008  DK  1,246,144 
Other $ identified for recoupment  DK  145,705  DK  DK  1,100  112,826  12,110  1,422  DK  1,865  DK  100  275,127 
Total $  DK  145,705  76,484  0  23,100  112,826  12,110  1,144,102  0  3,836  3,008  100  1,521,271 
Note: DK indicates grantees were unable to provide specific data.  Definitions

RETIRED PROFESSIONAL  These are retired individuals who were professionals (e.g., 
teachers, lawyers, doctors, or accountants), who are new 
volunteers to the aging network, and who are trained to help 
beneficiaries identify Medicare fraud. 
OTHERS  These are any other individuals who are trained to help 
beneficiaries identify Medicare fraud. 
RECRUITING  Any effort to get individuals to take the training to become a 
trainer. 
TRAINING  The process of training the trainer. 
SUPPORT  Any  activity to help the trainers, such as transportation, 
renting space, printing material, and telecommunications. 
TRAINED  Completed training to conduct beneficiary education. 
MEDIA EVENTS  Any individual airing or publishing of media (e.g., print, radio, 
television, or electronic) to educate beneficiaries and their 
families about Medicare fraud. (If it is geared to trainers it is 
recruiting.) 
COMMUNITY EDUCATION 
ACTIVITIES  Any beneficiary education activity not given by trainers or 
counted as media events.  Definitions (continued)

BENEFICIARIES  Includes beneficiaries, family members, caregivers, and 
others who attended sessions. 
GROUP SESSIONS  Medicare fraud education sessions for beneficiaries, family 
members, caregivers, and others led by trainers. 
ONE-ON-ONE SESSION  Sessions led by trainers for an individual beneficiary and/or 
his or her family. 
COMPLAINTS  Allegations of health care fraud and abuse reported by any 
individual as a result of the projects efforts. 
COMPLAINTS REFERRED 
FOR ACTION  Complaints deemed worthy of referring to a Medicare 
contractor or an investigative agency. 
COMPLAINTS THAT 
RESULTED IN SOME ACTION  Referrals successfully closed by a Medicare contractor or an 
investigative agency (e.g., conviction, judgement, plea, or 
overpayment). 
MEDICARE $ IDENTIFIED 
FOR RECOUPMENT  Funds where recoupment action has been initiated by a 
Medicare contractor or a law enforcement agency.