Category: Medicare/Medicaid
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How Medicare Advantage plans code for cash; HHS report exposes overbilling
By Fred Schulte
Center for Public Integrity
A new federal study shows that many Medicare Advantage health plans routinely overbill the government for treating elderly patients — and have gotten away with doing it for years. -
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Billions in Medicare Advantage overcharges likely gone for good
By Fred Schulte
Center for Public Integrity
Four years ago, Medicare auditors came to an alarming conclusion: the federal government shouldn’t have paid a half-dozen insurance plans hundreds of millions of dollars to treat seniors in especially poor health. -
Feds in South Florida investigating allegations Humana overcharged Medicare Advantage
By Fred Schulte
Center for Public Integrity
Giant health insurer Humana Inc. faces multiple federal investigations into allegations that it overbilled the government for treating elderly patients enrolled in its Medicare Advantage plans, court records reveal. -
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Medicaid contracts, a close friend, big money and Gov. Scott’s re-election campaign
By Dan Christensen
BrowardBulldog.org
Before the Legislature convenes in Tallahassee next Tuesday, Coral Gables healthcare tycoon Miguel B. “Mike” Fernandez will host a Sunday afternoon BBQ with Gov. Rick Scott, his wife Ann, and key members of the governor’s campaign finance team. -
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Payments to CEO raise new conflicts at top health quality group
By Marshall Allen
ProPublica
The top executive at the country’s pre-eminent health care quality organization is being paid hundreds of thousands of dollars by two large medical companies that have a stake in the group’s work. -
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The other Washington could hold the key to Medicare’s cost crisis
By Joe Eaton
Center for Public Integrity
A recent federal assessment of Medicare’s fiscal health contained a shred of good news — the public health insurance program for the elderly is burning through cash at a slightly slower rate than expected. Yet declining health care costs haven’t bought much time.
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