Tag: Medicare Advantage
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Humana health plan overcharged Medicare by nearly $200 million, federal audit finds
By Fred Schulte
Kaiser Health News
A Humana Inc. health plan for seniors in Florida improperly collected nearly $200 million in 2015 by overstating how sick some patients were, according to a new federal audit, which seeks to claw back the money. -
Fraud and billing mistakes cost Medicare – and taxpayers – tens of billions last year
By Fred Schulte /b>
Kaiser Health News
Federal health officials made more than $16 billion in improper payments to private Medicare Advantage health plans last year and need to crack down on billing errors by the insurers, a top congressional auditor testified Wednesday. -
Auditors: feds failed to rein in billions over-billed by Medicare Advantage plans
By Fred Schulte
Center for Public Integrity
Private Medicare Advantage plans treating the elderly have over-billed the government by billions of dollars, but rarely been forced to repay the money or face other consequences for their actions, according to a new Congressional audit. -
South Florida whistleblower alleges Medicare Advantage fraud
By Fred Schulte
Center for Public Integrity
Insurance giant Humana Inc., which operates some of the nation’s largest private Medicare health plans, knew for years of billing fraud at some South Florida clinics, but did little to curb the practice even though it could harm patients, a doctor alleges in a newly unsealed whistleblower lawsuit. -
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White House wants more aggressive effort on Medicare, Medicaid billing errors
By Fred Schulte
Center for Public Integrity
White House budget director Shaun Donovan called for a “more aggressive strategy” to thwart improper government payments to doctors, hospitals and insurance companies in a previously undisclosed letter to Health and Human Services Secretary Sylvia Mathews Burwell earlier this year. -
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More Medicare Advantage audits in South Florida and elsewhere reveal overcharges
By Fred Schulte
Center for Public Integrity
Government audits just released as the result of a lawsuit detail widespread billing errors in private Medicare Advantage health plans going back years, including overpayments of thousands of dollars a year for some patients.
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