Medicare Advantage plans require more scrutiny

By Fred Schulte

Government inspector says private Medicare plans difficult to investigate due to lack of access to data.

Home is where the money is for Medicare Advantage plans

By Fred Schulte

Medicare Advantage home visits may not improve health, but boost risk scores and cost taxpayers billions.

Get involved: Help Medicare Advantage investigation go further with donations and news tips

Join us in finding problems with Medicare Advantage billing, “risk scores”, or home visits.

Medicare Advantage lobbying machine steamrolls Congress

By Fred Schulte

Under pressure, Medicare Advantage critics morph into defenders.

Health insurers have their way with regulators

By Fred Schulte

Billions in Medicare Advantage overpayments likely gone for good.

New audits may recover missing millions — or not

By Fred Schulte

Secretive audits target some Medicare Advantage plans.

150 billion reasons Medicare Advantage matters

By Eleanor Bell

Reporter Fred Schulte discusses his investigation into billions of dollars misspent on Medicare Advantage plans.

Audio: Reporter Fred Schulte discusses Medicare Advantage investigation

Reporter Fred Schulte discusses key findings from the year long investigation into Medicare Advantage billing.

Medicare Advantage made simple: a glossary

By Fred Schulte

Definitions for lesser-known terms relating to Medicare.

Why Medicare Advantage costs taxpayers billions more than it should

By Fred Schulte, David Donald and Erin Durkin

Critics warned of billing abuse in Medicare Advantage health plans, but oversight is lagging.

Whistleblower suit says health plan cheated government out of more than $1 billion

By Fred Schulte

Lawsuit: executives worried health plan would be ‘screwed’ if feds heard of overcharges.

How risk scores work

By Chris Zubak-Skees

See Medicare Advantage's billing system in action.

How risk scores changed

By Chris Zubak-Skees

Medicare Advantage plans graphed.

Explaining Medicare Advantage, and why it matters to you

By Fred Schulte and Sarah Whitmire

Explaining risk scores, Medicare Advantage and what alleged overbilling could mean for the Affordable Care Act.

Methodology for 'Medicare Advantage Money Grab'

By David Donald and Erin Durkin

A behind-the-scenes look at the data analysis for the 'Medicare Advantage Money Grab' investigation.

Center sues in an effort to make Medicare Advantage files public

By Fred Schulte

Center sues to make records public.

Read 'Cracking the Codes' via e-book

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Feds propose shakeup for emergency room billing

By Fred Schulte

Proposal seeks to counter alleged over-billing with standardized rate

The other Washington could hold the key to Medicare's cost crisis

By Joe Eaton

Washington state won't pay for medical procedures that don't work. Why can't Medicare do that?

Medicare fraud outrunning enforcement efforts

By Fred Schulte

Agency couldn't investigate 1,200 complaints, and more cuts coming.

Eyelid lifts skyrocket among Medicare patients, costing taxpayers millions

By Joe Eaton and David Donald

Medicare paying more and more as critics question rationale for procedure that's often cosmetic.

Feds 'listen' for sounds of Medicare billing abuse

By Fred Schulte

Baltimore session looks at role of electronic health records in higher medical bills.

GOP senators call for overhaul of electronic health records program

By Fred Schulte

Report says $35 billion Obama administration stimulus program not working

Electronic medical records probed for over-billing

By Fred Schulte

Are feds doing all they can to ferret out waste from move to electronic records?

Hospital 'facility fees' boosting medical bills, and not just for hospital care

By Fred Schulte

Medicare budget-cutters are targeting extra charges by hospitals

Feds tighten scrutiny of health records

By Fred Schulte

Feds increase scrutiny of how electronic systems affect billing

Medicare paid $3.6 billion for electronic health records but didn't verify quality goals were met

By Fred Schulte

Medicare paid providers billions to adopt electronic records without checking to see they're meeting quality goals

Hospitals request government help in curbing possible billing abuses

By Fred Schulte

Federal help sought to create billing guidelines and oversee electronic medical records

IMPACT: HHS IG pledges focus on Medicare billing abuse involving electronic records

By Fred Schulte

HHS inspector general announces focus on Medicare billing abuse involving electronic records

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