Lee Health is the latest major health care organization to get hit with a federal whistleblower lawsuit alleging Medicare fraud and illegal self-referrals. Angela D'Anna, Lee Health's former head internal auditor, filed the lawsuit and claimed that the public hospital system paid certain neurosurgeons, cardiologists, pulmonologists and one...
Kansas Attorney General Derek Schmidt issued the following news release:. Attorney General Derek Schmidt announced today that Crossroads Hospice of Kansas has agreed to pay more than $300,000 to the Kansas Medicaid program for improper billing at a facility in Lenexa. Earlier this month, Schmidt filed a lawsuit in Shawnee County District Court agai
The growth thus far in Minnesota's numbers contrasts with results reported this week by the federal Centers for Medicare and Medicaid Services, which is seeing enrollment declines across more than 30 states that use the federal government's health insurance exchange. "The story that we're seeing at the national level is not the Minnesota story," N
Jason Smith, R- Missouri, issued the following news release:. "For too long, Washington has inundated hospitals and health care providers seeing Medicare patients with ineffective and non-essential red tape," said Congressman Smith. Congressman Smith's bill will benefit seniors by removing the unnecessary Washington rules for Medicare providers th
Democrats have clamored for South Carolina to add more residents to the state program's rolls. So now Democrats are pushing for voters to decide the issue in a statewide referendum. Brad Hutto, D- Orangeburg, one of nine Senate Democrats backing the measure.
RALEIGH Attorney General Josh Stein today announced that Lisa Carol Raymond of Greenville, N.C., and Robert Paul Maglicic, Jr., of Miami, Fla., pleaded guilty to Conspiracy to Commit Health Care Fraud in the United States District Court for the Eastern District of North Carolina. As employees of South Carolina- based provider Southern Support Servi
Agency: " Centers for Medicare& Medicaid Services, HHS." SUMMARY: The Centers for Medicare& Medicaid Services is announcing an opportunity for the public to comment on CMS' intention to collect information from the public. Under the Paperwork Reduction Act of 1995, federal agencies are required to publish notice in the Federal Register concerning e
LANCASTER Auditor General Eugene DePasquale today released a special report calling for action to reduce Medicaid prescription costs by increasing the transparency of how pharmacy benefit managers do business. The nation's three largest PBMs each earn over $15 billion annually. In 2017, Pennsylvania taxpayers paid $2.86 billion to PBMs for Medicaid
Richard Blumenthal, D- Connecticut, issued the following news release:. Legislation supported by Patients for Affordable Drugs Now, Families USA, Center for Medicare Advocacy, Consumer Reports, and Public Citizen. Following new reports on the pervasive nature of Big Pharma's predatory pricing practices, including on lifesaving opioid overdose drugs
Commonwealth Care Alliance s One Care plan received the nation s highest rating in the 2018 Consumer Assessment of Healthcare Providers and Systems survey, administered by the Centers for Medicare& Medicaid Services. We are especially proud to have earned a top-quality rating for three years running because it demonstrates our success in b
Are mandatory daily exercise programs and cameras that monitor what people eat far off? But look at what's happening in the United Kingdom, where the government runs the health system. If Democrats succeed in establishing a single-payer system here, Uncle Sam could have a plausible case for dictating our diets, too.
Dec. 14 A recent report from New Mexico on a high-profile health reform allowing the public to buy into the government-run Medicaid program should be required reading for Minnesota lawmakers before the Jan. 8 start of the 2019 session. The well-researched analysis from New Mexico should serve as a framework for the coming debate in St. Paul o
Bennet, D- Colorado, explained his idea for "Medicare-X" at the Colorado Health Institute's annual Hot Issues in Health conference last week in Englewood. As explained by John Ingold in The Colorado Sun, Medicare-X would be another health care policy on the open market. Politicians are jumping on a bandwagon of advocating Medicare expansion because
The Department of Justice has intervened in a lawsuit against Sacramento, Calif.- based Sutter Health, alleging the health system and an affiliated medical foundation violated the False Claims Act by submitting inaccurate information about Medicare Advantage beneficiaries. Sutter contracted with certain Medicare Advantage organizations to provide..
Progress Florida issued the following news release:. As the December 15th deadline for Affordable Care Act open enrollment nears, the latest numbers from the Centers for Medicare and Medicaid Services show that Florida and the nation are being impacted by Trump Administration cuts to Affordable Care Act Navigators and publicity outreach.
Orrin G. Hatch, R- Utah, chairman, Sen. Ron Wyden, D- Oregon, ranking member of the Senate Finance Committee, Rep. Richard Neal, D- Massachusetts, ranking member of the House Ways and Means Committee, on Dec. 13.
Selections for 2019 coverage beginning Jan. 1 were more than 20 percent lower in Illinois compared with the end of the sixth week of open enrollment in 2017, according to the U.S. Centers for Medicare and Medicaid Services. A total of 134,041 people chose plans on Illinois health-insurance exchange as of Dec. 8 compared with 168,663 at a similar po
TOPEKA- Gov.-elect Laura Kelly's detailed review of the Republican-controlled executive branch in Kansas exposed unexpectedly deep problems requiring a triage approach familiar to doctors responding to a calamity. Kelly, a Democratic state senator from Topeka, said she would seek a legacy as governor that featured a substantially invigorated...
Patrick Allen, Oregon Health Authority director, said Lori Coyner's return comes at a critical time for the transformation of Oregon's Medicaid program, known as the Oregon Health Plan, which provides health care coverage for nearly 1 million people in Oregon. In her previous work at OHA as state Medicaid director, Coyner played a pivotal role in s
Editor's note: Last month we covered the Alabama Hospital Association's campaign to expand Medicaid in Alabama and how expansion would improve access to care. "Medicaid is a complicated subject," said Danne Howard, executive vice president and chief policy officer of the Alabama Hospital Association. The AHA campaign, ALhealthmatters.com, is inten
Health and Human Services Secretary Alex Azar just released a sweeping proposal that would drastically change how Medicare pays for advanced cancer therapies and other potent medicines. The government pays doctors the average U.S. price of the drug, plus a markup to cover administrative costs. Administration officials correctly note these drugs cos
The American Association for Medicare Supplement Insurance announced a print and digital ad campaign to support the organization's national Medicare and senior insurance sales summit taking place June 5, 2019 in Atlanta.
The Centers for Medicare and Medicaid Services reported 66,480 Oklahomans had enrolled in a plan as of Dec. 8. Andrea Chica-Rodriguez, a navigator with the Latino Community Development Agency, attributed some of the gap to confusion about when customers can sign up and whether buying insurance through the exchange will affect their immigration stat
Assistant Attorney General Brian A. Benczkowski of the Justice Department's Criminal Division, U.S. Attorney Nicola T. Hanna of the Central District of California, Assistant Director in Charge Paul D. Delacourt of the FBI' s Los Angeles Division and Special Agent in Charge Christian J. Schrank of the U.S. Department of Health and Human Services.
According to the bill, it directs the Oklahoma Healthcare Authority to "repeal or amend certain rules". Those covered for pregnancy-related benefits under Soon-to-be- Sooners retain eligibility to the end of the pregnancy. Katelynn Burns is with the Oklahoma Healthcare Authority, which oversees the program.