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 

OTHERS 

RECRUITING 

TRAINING 

SUPPORT 

TRAINED 

MEDIA EVENTS 

COMMUNITY EDUCATION 

ACTIVITIES 

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. 

These are any other individuals who are trained to help 

beneficiaries identify Medicare fraud. 

Any effort to get individuals to take the training to become a 

trainer. 

The process of training the trainer. 

Any activity to help the trainers, such as transportation, 

renting space, printing material, and telecommunications. 

Completed training to conduct beneficiary education. 

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.) 

Any beneficiary education activity not given by trainers or 

counted as media events. 
Definitions (continued)

BENEFICIARIES 

GROUP SESSIONS 

ONE-ON-ONE SESSION 

COMPLAINTS 

COMPLAINTS REFERRED 

FOR ACTION 

COMPLAINTS THAT 

RESULTED IN SOME ACTION 

MEDICARE $ IDENTIFIED 

FOR RECOUPMENT 

Includes beneficiaries, family members, caregivers, and 

others who attended sessions. 

Medicare fraud education sessions for beneficiaries, family 

members, caregivers, and others led by trainers. 

Sessions led by trainers for an individual beneficiary and/or 

his or her family. 

Allegations of health care fraud and abuse reported by any 

individual as a result of the project’s efforts. 

Complaints deemed worthy of referring to a Medicare 

contractor or an investigative agency. 

Referrals successfully closed by a Medicare contractor or an 

investigative agency (e.g., conviction, judgement, plea, or 

overpayment). 

Funds where recoupment action has been initiated by a 

Medicare contractor or a law enforcement agency.