Adults 65 and older who are looking to start or improve their Medicare coverage during the current open enrollment period can turn to 65 Incorporated's free resource library for step-by-step guidance, the company announced today. The library includes unbiased, expert information on choosing the correct Medicare Advantage plan, understanding the...
A report coming out Friday from the Health and Human Services Department's inspector general says the Medicare rule allows payment for prescriptions filled up to 32 days after a patient's death at odds with the program's basic principles, not to mention common sense. Medicare said it's working on a fix. Investigators examined claims from 2012 fo
Oct. 31 A 38- year-old Glendale woman who co-owned a home-health agency has been indicted for taking part in a scheme that defrauded Medicare out of $22 million, according to court records unsealed on Thursday. Angela Avetisyan, a Los Angeles physician identified as Robert Glazer, 67, and their co-conspirators are accused of billing Medicare for
A report released Friday by the Health and Human Services Department's inspector general said the Medicare rule allows payment for prescriptions filled up to 32 days after a patient's death at odds with the program's basic principles, not to mention common sense. Medicare said it's working on a fix. Investigators examined claims from 2012 for a
SUMMARY: This final notice announces our decision to approve the request from Lake Pointe Medical Center for an exception to the prohibition against expansion of facility capacity. Unless the requirements of an applicable exception are satisfied, section 1877 of the Social Security Act, also known as the physician self-referral law prohibits a ph
Assurex Health, the region's leading biotech startup, announced Thursday that Medicare will cover the cost of its promising test that helps doctors accurately prescribe drugs for a person with mental illness. Medicare coverage will mean millions in annual revenue for the fast-growing personalized-medicine company in Mason. Assurex Health is a model
New Data from University of California Illuminate Findings in Medicare and Medicaid. By a News Reporter-Staff News Editor at Insurance Weekly News Researchers detail new data in Medicare and Medicaid. Our news journalists obtained a quote from the research from the University of California, "Using claims from fee-for-service Medicare enrollees of
WASHINGTON An owner and operator of two community mental health centers in Baton Rouge, Louisiana, and a patient recruiter for a community mental health center in Houston, Texas, were sentenced to prison today for their involvement in a $258.5 million Medicare fraud scheme involving partial hospitalization psychiatric services. Attorney J. Walter
By a News Reporter-Staff News Editor at Insurance Weekly News Among fee-for-service Medicare beneficiaries who received care at a skilled nursing facility following hospital discharge, better performance on various measures of quality of care was not consistently associated with a lower risk of hospital readmission or death at 30 days, according
Recent Findings from University of Michigan Advance Knowledge in Medicare and Medicaid. By a News Reporter-Staff News Editor at Insurance Weekly News Fresh data on Medicare and Medicaid are presented in a new report. We identified 6,698 Medicare beneficiaries who underwent mesh sling procedures and 445 Medicare beneficiaries who underwent nonmesh
Reports on Medicare and Medicaid from Texas A&M University Provide New Insights. By a News Reporter-Staff News Editor at Insurance Weekly News Research findings on Medicare and Medicaid are discussed in a new report. Our news editors obtained a quote from the research from Texas A&M University, "I take advantage of discontinuities in the structur
By a News Reporter-Staff News Editor at Insurance Weekly News New research on Medicare and Medicaid is the subject of a report. Our news editors obtained a quote from the research from the University of Washington, "Given the negative financial impact of surgical site infections and the higher overall complication rates of patients with a Medicai
Researchers from University of Michigan Describe Findings in Medicare and Medicaid. By a News Reporter-Staff News Editor at Insurance Weekly News Investigators discuss new findings in Medicare and Medicaid. This was a retrospective cohort study of Medicare beneficiaries undergoing outpatient surgery between 2001 and 2010. We compared...
By a News Reporter-Staff News Editor at Insurance Weekly News To help senior customers as they get ready to select a prescription drug plan or update their existing coverage during the upcoming annual Medicare Part D enrollment period, Rite Aid is once again offering free resources. Beginning Oct. 15, customers can use Rite Aid's Medicare Advisor
Study Data from George Washington University Update Understanding of Medicare and Medicaid. By a News Reporter-Staff News Editor at Insurance Weekly News Research findings on Medicare and Medicaid are discussed in a new report. Medicare provides nearly $10 billion annually to support GME and faces growing policy maker interest in creating...
Study Findings from Texas A&M University Broaden Understanding of Disability Research. Our news journalists obtained a quote from the research from Texas A&M University, "We retrospectively assessed secondary data on children, ages 4-20, receiving Medicaid Personal Care Services. A structural equation model assessed direct and indirect effects of..
Oct. 29 POINT PLEASANT After waiting many months after its order was placed last winter, the Mason County Health Department has finally received flu vaccines for adults. The other reason for a smaller supply is that the health department will only be offering the adult vaccine to those with Medicare or no insurance at all. Make sure to bring yo
Attorney General Chris Koster announced today that he has reached a settlement with Care 4 Life Medical Resources, LLC, of Florissant, and the company's owner, Antanaia Miller, for submitting false claims to MO HealthNet, Missouri's Medicaid program. Koster said that Care 4 Life provides services to Medicaid participants under several of MO HealthN
She went on to criticize the advisory group's proposed recommendation that would limit Medicaid coverage for therapeutic services. Essentially, the recommendation suggested trimming down therapy visits to cut Medicaid costs. Sean Parnell created the Medicaid Reform Advisory Group last year after refusing to expand Medicaid under the Affordable Care
In Maryland alone this year, 100,000 people qualified for Medicaid. Dr. Conley, who is currently the Maryland Dental Officer, said Medicaid patients already have begun calling to schedule their dental visits before the end of the year. "This is an underserved population, and we are one of the few dental practices in the area that will accept Medic
The clinic is planned from 9 to 11 a.m. at the health department, 2345 Morganton Blvd., in Lenoir. Payment can be made with cash, check, current Medicare part B card, current Medicaid cards, or any private insurance card. They can be found online at www.caldwellcountync.org, or you can get forms at the county libraries in Lenoir, Hudson or Granite
In late 2013, Dane County in Wisconsin did not have a managed care program for its high touch population: those with Medicaid SSI, a health insurance program for individuals with a disability who qualify for Federal SSI. Care Wisconsin received approval from the Wisconsin Department of Health Services to offer the program in Dane County, and also i
WASHINGTON, Oct. 30 The U.S. Department of Health and Human Services published the following notice in the Federal Register from the Centers for Medicare& Medicaid Services:. Medicare, Medicaid, and Children's Health Insurance Programs; Advisory Panel on Clinical Diagnostic Laboratory Tests and Request for Nominations. A Notice by the Centers for
Oct. 30 Highmark Inc.' s low-cost Medicare Advantage plans, which exclude UPMC hospitals and doctors, don't violate an agreement the insurer reached with state leaders, a state court ruled Thursday. Commonwealth Court Judge Dan Pellegrini denied a request by Attorney General Kathleen Kane and the administration of Gov. Kane, Insurance Commissione
Dignity Health has agreed to pay the United States $37 million to settle allegations that 13 of its hospitals in California, Nevada and Arizona knowingly submitted false claims to Medicare and TRICARE by admitting patients who could have been treated on a less costly, outpatient basis, the Justice Department announced today. The settlement resolves