OPINION: Why insurers want ObamaCare's Medicaid business

By Wendell Potter

Pay no attention to GOP governors; health insurers want that new Medicaid business.

Excerpts from this story referencing "Medicaid":

"… on major provisions of the law going forward, especially the expansion of Medicaid. Don’t be fooled by Republican governors like Florida’s Rick Scott and …"

"… ick Scott and Texas’ Rick Perry, who are saying they’ll opt out of the Medicaid expansion now that the Supreme Court says that’s allowable. When the Fed …"

"… out billions in 2014 to bring an additional 16 million Americans into the Medicaid program, they’ll be on board. Trust me.Want proof that Big Insurance has …"

"… unced it will pay nearly $5 billion to buy the country’s largest private Medicaid managed care company, AmeriGroup. Rest assured that lobbyists for WellPoin …"

Mitt Romney

Governors put off health care questions, for now

By The Associated Press

Concerned about costs, governors put off decisions on health care law until after Election Day

Excerpts from this story referencing "Medicaid":

"… heir states will proceed on two parts under their control: an expansion of Medicaid, expected to extend coverage to roughly 15 million low-income people, and …"

"… all Americans insured, ruling that states can opt out of the expansion of Medicaid, the government-run insurance plan. People earning up to 138 percent of th …"

"… People earning up to 138 percent of the federal poverty level qualify for Medicaid under the health care law, except in states that reject the expansion.The …"

"… n them instead.About a half-dozen states have announced plans to forgo the Medicaid expansion and relinquish the massive infusion of federal dollars that woul …"

How doctors and hospitals have collected billions in questionable Medicare fees

By Fred Schulte and David Donald

Center investigation suggests cost from upcoding and other abuses likely tops $11 billion.

Excerpts from this story referencing "Medicaid":

"… n Washington. McClellan, a former director of the Centers for Medicare and Medicaid Services, or CMS, said the agency must send a message that it “won’t s …"

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About the 'Cracking the Codes' project

By The Center for Public Integrity

Behind the reporting

Excerpts from this story referencing "Medicaid":

"… esult of a settlement from litigation against the Centers for Medicare and Medicaid Services.   Delving deeply into this data has now helped us expo …"

Judgment calls on billing make 'upcoding' prosecutions rare

By Fred Schulte

Authorities typically settle, and doctors often continue treating Medicare patients

Excerpts from this story referencing "Medicaid":

"… consultant who spent three decades at the federal Centers for Medicare and Medicaid Services and served as its acting administrator in the early months of the …"

"… April of next year.The indictment alleges that Chirban billed Medicare and Medicaid, the government health plan for the poor, for tens of thousands of patient …"

"… most lucrative billing codes.The doctor billed more than 57,000 claims to Medicaid alone between September 2006 and April 2010. Prosecutors allege that most …"

OPINION: Center series demonstrates dangers of 'captured' regulators

By Wendell Potter

Center series demonstrates dangers of special interest influence

Excerpts from this story referencing "Medicaid":

"… affecting them. In many regards,  the Centers for  Medicare and Medicaid Services (CMS) has become a “captured agency” as a result of decisions …"

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OPINION: a bit of truth-telling on Obamacare

By Wendell Potter

The rhetoric has obscured the Affordable Care Act's many benefits

Excerpts from this story referencing "Medicaid":

"… n is not going to add trillions to the deficit, even though it will expand Medicaid and provide subsidies to low-income individuals and families to buy privat …"

"… million if all the states agree to accept federal dollars to expand their Medicaid programs.That said, Obamacare is not a panacea for all that ails the U.S. …"

Blistering inspector general report says feds are failing to fight Medicaid home care fraud

By Joe Eaton

Report says feds not doing enough to root out fraud in Medicaid personal services

Excerpts from this story referencing "Medicaid":

"… home to be homebound to.” …"

"… heila McDonald, for the job. In 2011, McDonald received almost $5,000 from Medicaid for six months of care she provided to Foreman.These personal care service …"

"… General (OIG) report scheduled to be released today faults the Centers for Medicaid and Medicare Services (CMS) for inadequate oversight of personal care serv …"

"… costs are shared by states and the federal government, as is the norm for Medicaid.  The report, which brings together six years of OIG investigations a …"

Hospitals request government help in curbing possible billing abuses

By Fred Schulte

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

Excerpts from this story referencing "Medicaid":

"… als. The letter suggests AHA should work with the Centers for Medicare and Medicaid Services to “establish a set of national hospital…guidelines.”Althou …"

OPINION: 'Disrupt' the new buzzword of Obamacare opponents

By Wendell Potter

OPINION: 'Disrupt' is the new buzzword of Obamacare opponents

Excerpts from this story referencing "Medicaid":

"… buy coverage from private insurers if we’re not eligible for Medicare or Medicaid.The Congressional Budget Office estimates that 32 million uninsured Americ …"

"… coverage as a result of the law. While many will be newly eligible for the Medicaid program, millions of others will get subsidies from the federal government …"

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