Last year I was buying my prescription drugs at Walmart. Cost $48 for three months. This year they added a prescription drug benefit to my medicare advantage plan. According to the plan my prescriptions had an Average Retail price of $1002.50 for three months. Plan discounts brought that down to $119.31, which the plan paid.
In short, the plan claims an astronomical average retail price, twenty times the actual retail price. Then they claim to have achieved discounts (kickbacks) bringing the drug cost down to $119.31, only twice retail price, and then "paid" for it all. Right.
Imagine the billing scams possible under Obama's yet to be announced, health care plan.