In a surprise action, CMS announced it would require next to nothing from insurers for any excess payments they received from 2011 through 2017.
Fred Schulte | Kaiser Health News
Posted inPartner Content
Did your health plan rip off Medicare?
Almost 100 previously secret government audits reveal millions of dollars in overpayments to Medicare Advantage health plans for seniors.
Posted inHealth, Justice
Trump’s pardons included health care execs behind massive fraud
Former President Donald Trump as he leaves the White House for the last time. At the last minute, President Donald Trump granted pardons to several individuals convicted in huge Medicare swindles that prosecutors alleged often harmed or endangered elderly and infirm patients while fleecing taxpayers. “These aren’t just technical financial crimes. These were major, major […]
Posted inHealth
Some states are reporting incomplete COVID-19 results, blurring the full picture
Several states are reporting only positive COVID-19 test results from private labs, a practice that paints a misleading picture of how fast the disease is spreading.
Posted inHealth
Whistleblower alleges Medicare fraud at iconic health plan
Group Health Cooperative in Seattle, one of the nation’s oldest and most respected nonprofit health insurance plans, is accused of bilking Medicare out of millions of dollars in a federal whistleblower case.
Posted inHealth
How America got hooked on a deadly drug
Purdue Pharma left almost nothing to chance in its whirlwind marketing of its new painkiller OxyContin. From 1996 to 2002, Purdue pursued nearly every avenue in the drug supply and prescription sales chain — a strategy now cast as reckless and illegal in more than 1,500 federal civil lawsuits from communities in Florida to Wisconsin […]
Posted inHealth
Medicare fails to recover hundreds of millions in lab overcharges
Companion Dx is one of at least six clinical labs mired in bankruptcy court after Medicare alleged they improperly billed the government for unnecessary urine, genetic or heart disease tests expected to cause hundreds of millions dollars in losses to taxpayers.
Posted inHealth
Fraud, billing mistakes cost Medicare – and taxpayers – tens of billions
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 has testified.
Posted inHealth
UnitedHealth overbilled U.S. by $1 billion in Medicare claims, feds charge
The Justice Department has accused giant insurer UnitedHealth Group of overcharging the federal government by more than $1 billion through its Medicare Advantage plans.