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> Only seven people were charged with fraud in self-directed personal care services in Arkansas in 2020, out of a workforce of more than 4,500, according to data collected by Applied Self-Direction, a Boston-based consultancy. The state secured three convictions, recovering $1,930 total – $643 per case. The EVV system has cost the state $5.7m so far.

How has this gone so far?!

I am profoundly disappointed that there are so many people happy to spend 5,700,000 dollars to "avoid" losses of $1,930, while simultaneously putting thousands of the most compassionate people under needless stress.

Everyone involved in drafting and approving this atrocity needs to be put in remedial math classes, and never allowed near a lever of power again.

It's no surprise that low level healthcare employees are subject to the same cleverly crafted bureaucratic and accounting incompetence that screws them out of money that this industry has developed for its customers.
What's interesting is that the patients often have absolutely no cognitive impairments & are regularly seen by their doctors.

So they could just have their physician/the patient himself report care that wasn't delivered.

Throw that system out! After reading the article, it shows it to be worse than useless. Just as selling stocks that are failing, there will be pressure to hang on due to the invested money. But the results are bad, the concept is bad, the expenses are worse. That money could be used to provide a lot of people with extra support. Not everything can be computerized. Human systems, are not necessarily modelable(?), just because they are systems. Health care is always difficult on a government scale, because set rules don't work. Senior care, handicapped care, child care for that matter; require flexibility, adaptability, and passion. Systems don't work effectively. One day someone needs 24 hour care, another day 2 hours. Diarrhea happens!