Excerpts from this story referencing Medicare

"… re McCaskill wants federal officials to step up oversight of privately-run Medicare Advantage health plans treating the elderly, citing allegations by whistle …"

"… es E. Grassley asked Attorney General Loretta Lynch to tighten scrutiny of Medicare Advantage health plans suspected of overcharging the government, saying bi …"

"… billing tool called a “risk score,” which is intended to pay Medicare Advantage insurers higher rates for taking sicker people and less for thos …"

Excerpts from this story referencing Medicare

"… . Grassley has asked Attorney General Loretta Lynch to tighten scrutiny of Medicare Advantage health plans suspected of overcharging the government, saying bi …"

"… rs to Lynch and Andrew M. Slavitt, acting Administrator of the Centers for Medicare and Medicaid Services, Grassley wanted to know what both agencies have don …"

"… surance program for years. “Safeguards become all the more important as Medicare Advantage adds more patients and billions of dollars of hard-earned taxpay …"

Excerpts from this story referencing Medicare

"… as mostly a ho-hum day on Wall Street­ — but not for companies offering Medicare Advantage plans. Several of those firms hit the jackpot, tacking on billio …"

"… harging the government. The stocks took off after the federal Centers for Medicare and Medicaid Services advised the health plans in a memo that it was rethi …"

"… mo that it was rethinking a move to ratchet up audits of the privately run Medicare plans. Some of these plans are run by publicly traded insurance companies …"

Excerpts from this story referencing Medicare

"… health care providers to work together more collaboratively. Increasingly, Medicare and other payers are reimbursing health care providers based on how well t …"

Excerpts from this story referencing Medicare

"… side the Beltway. “Today I will begin as President and CEO of the Better Medicare Alliance,” she told her “friends and supporters.” The Better Medica …"

"… dicare Alliance,” she told her “friends and supporters.” The Better Medicare Alliance is a so-called 501(c)(3) nonprofit that appears to have been crea …"

"… with APCO on several projects during my years at Cigna.  The Better Medicare Alliance’s raison d’etre is to widen the federal spigot of taxpayer do …"

Excerpts from this story referencing Medicare

"… Stevens wrote. This story was co-published with NPR.  …"

"… least a half dozen whistleblower lawsuits alleging billing abuses in these Medicare Advantage plans have been filed under the False Claims Act since 2010, inc …"

"… tleblower cases will surface. The Justice Department also is investigating Medicare risk scores. Though specific allegations vary, the whistleblower suits al …"

Excerpts from this story referencing Medicare

"… New York State Society of CPAs 2015 Excellence in Journalism Awards. The Medicare Advantage Money Grab series won Best Independent or Affiliated Outlet (med …"

"… lars wasted through manipulation of “risk scores” and the power of the Medicare Advantage industry. It was reported by senior health care reporter Fred Sc …"

Excerpts from this story referencing Medicare

"… passed a measure to replace the formula-setting pay for doctors who treat Medicare patients. House leaders billed the legislation as a step towards entitleme …"

Excerpts from this story referencing Medicare

"… like this: hospitals are paid so inadequately by government programs like Medicare and Medicaid that they have to charge private insurers more to keep their …"

"… In the past, when governments reduced reimbursement rates for Medicaid and Medicare, private insurers have generally paid more to make up for it.” Health c …"

"… y 2013 edition of Health Affairs that found that a 10 percent reduction in Medicare payments was associated with an almost 8 percent reduction in private pric …"

Excerpts from this story referencing Medicare

"… mplex requests could average more than two years to fill. The Centers for Medicare and Medicaid Services has a backlog of some 3,000 FOIA requests and says i …"

"… s part of the Center’s ongoing investigation into overcharges by private Medicare Advantage insurance plans for the elderly. The Center filed suit afte …"

"… r to be discussing important policy matters, such as how generously to pay Medicare Advantage plans, are totally blacked out. Justice lawyers called 201 …"

Excerpts from this story referencing Medicare

"… week to inform us that it recovered $3.3 billion in fraudulent payments to Medicare health care providers in fiscal year 2014. Officials even went so far as t …"

"… urnal, which, like the Center for Public Integrity, has been investigating Medicare fraud and abuse. In a story that appeared in the Journal before the offic …"

"… ve cracked down on tens of thousands of health care providers suspected of Medicare fraud,” an effort she said is helping to extend the life of the Medicare …"

Excerpts from this story referencing Medicare

"… Information Act (FOIA) request in May of 2013 with the federal Centers of Medicare and Medicaid Services. He asked for a wide range of Medicare Advantage rec …"

"… al Centers of Medicare and Medicaid Services. He asked for a wide range of Medicare Advantage records, including copies of program audits, billing data, email …"

Excerpts from this story referencing Medicare

"… sadvantaged children. A second Center series focused on health care, Medicare Advantage Money Grab, also won second place in the Business (Large) catego …"

Excerpts from this story referencing Medicare

"… l health officials were advised in 2009 that a formula used to pay private Medicare plans triggered widespread billing errors and overcharges that have since …"

"… ons of tax dollars, newly released government records show. Privately run Medicare Advantage plans offer an alternative to standard Medicare, which pays doct …"

"… . Privately run Medicare Advantage plans offer an alternative to standard Medicare, which pays doctors for each service they render. Under Medicare Advantage …"

Excerpts from this story referencing Medicare

"… Donald Berwick. President Obama nominated Berwick to lead the Centers for Medicare and Medicaid Services a few years back, but Senate Republicans were so uni …"

Excerpts from this story referencing Medicare

"… ia), have signed on as co-sponsors for the measure.   …"

Excerpts from this story referencing Medicare

"… d the government by claiming some elderly patients enrolled in its popular Medicare plans are sicker than they actually are. The Louisville, Kentucky-based c …"

"… U.S. Attorney’s Office,” Humana wrote.   The privately run Medicare Advantage plans offer seniors an alternative to standard Medicare, which p …"

"… tely run Medicare Advantage plans offer seniors an alternative to standard Medicare, which pays doctors for each service they render. By contrast, under Medic …"

Excerpts from this story referencing Medicare

"… tory. Finding the data Fortunately, the website for the Centers for Medicare and Medicaid Services (CMS) had this information as the Affordab …"

Excerpts from this story referencing Medicare

"… because we believe more cuts will harm beneficiaries,” she said. …"

"… ervices. The criminal case, believed to be among the first to take aim at Medicare Advantage billing tactics, centers on a South Florida doctor affiliated wi …"

"… ed with Humana Inc., one of the biggest players offering the privately run Medicare Advantage plans. A federal grand jury in West Palm Beach, Fl. indicted&nb …"

Excerpts from this story referencing Medicare

"… t Obama’s proposed 2016 budget takes a major swipe at waste and abuse in Medicare Advantage plans for the elderly, seeking more than $36 billion in cuts ove …"

"… iant Department of Health and Human Services. HHS includes the Centers for Medicare and Medicaid Services, which oversees the privately-run Medicare Advantage …"

"… nters for Medicare and Medicaid Services, which oversees the privately-run Medicare Advantage plans that now provide health insurance to more than 16 million …"

Excerpts from this story referencing Medicare

"… at the compact “could play an important role in preserving and enhancing Medicare for Kansas seniors.” Congress must give up its authority over Medicare …"

"… Medicare for Kansas seniors.” Congress must give up its authority over Medicare for the compacts to have any impact. Critics predict disastrous results sh …"

"… s results should that occur, however. Larry Weigel, of Kansans to Preserve Medicare, said the compacts would create a “wild west of for-profit competition …"

Excerpts from this story referencing Medicare

"… Public Integrity investigation detailing questionable spending by private Medicare plans has been awarded the prestigious Philip Meyer Journalism Award for s …"

"… yer Journalism Award for social science reporting.  The series, Medicare Advantage Money Grab, documented how Medicare Advantage plans, create …"

"… nbsp; The series, Medicare Advantage Money Grab, documented how Medicare Advantage plans, created more than a decade ago to control health care spe …"

Excerpts from this story referencing Medicare

"… ons. Keep reading …"

"… ar. If you weren't aware, you might have missed $70 billion in "improper" Medicare Advantage payments and the problem shared by 80 percent of all nursing hom …"

"…   1. $70 billion in 'improper' payments A Center investigation into Medicare Advantage uncovered how $70 billion in "improper" payments have been made …"

Excerpts from this story referencing Medicare

"… the annual quality survey. The Center’s probe found that hard-to-locate Medicare cost reports filed by nursing homes show lower daily staffing levels, espe …"

"… n those reflected in Nursing Home Compare. In 2005 the federal Centers for Medicare and Medicaid Services cited Medicaid cost reports that contain much of the …"

"… ted Medicaid cost reports that contain much of the same information as the Medicare documents as being a more accurate source than the data collected by state …"

Excerpts from this story referencing Medicare

"… “Had staff been aware of the issues identified by CMS [the Centers for Medicare and Medicaid Services], they may have been able to address the issues prio …"

Excerpts from this story referencing Medicare

"… say, those staffing levels may be artificially inflated. The Centers for Medicare and Medicaid Services (CMS), the federal agency responsible for overseeing …"

"… ident population during the year. Similar cost reports made to the federal Medicare program were analyzed by the Center; those reports showed daily staffing l …"

"… s about once each year to determine whether its nursing homes meet minimum Medicare and Medicaid quality and performance standards. Opinion is divided about t …"

Excerpts from this story referencing Medicare

"… nursing home staffing, the Center for Public Integrity downloaded the 2012 Medicare cost reports for skilled nursing facilities. The Center extracted data abo …"

"… of The Gerontologist. The Center used data from the Centers for Medicare and Medicaid Services to calculate the number of standard survey inspectio …"

Excerpts from this story referencing Medicare

"… site Nursing Home Compare than the average daily levels calculated through Medicare cost reports that are largely out of public view. In 2005 the Centers for …"

"… cost reports that are largely out of public view. In 2005 the Centers for Medicare and Medicaid Services, the agency responsible for nursing home oversight, …"

"… id the Medicaid cost reports that have much of the same information as the Medicare documents are generally more accurate than the self-reported data found on …"

Excerpts from this story referencing Medicare

"… ending on managed health care in the new fiscal year, ranging from private Medicare Advantage groups that treat millions of elderly to health plans rapidly ex …"

"… Health and Human Services Office of Inspector General, which investigates Medicare and Medicaid waste, fraud and abuse, said it would conduct “various revi …"

"… aid waste, fraud and abuse, said it would conduct “various reviews” of Medicare Advantage billing practices with an eye toward curbing overcharges. Result …"

Excerpts from this story referencing Medicare

"… m of diagnosing “false and fraudulent” medical conditions that several Medicare Advantage plans allegedly used to overcharge the federal government by $1 …"

"… nta Ana, California-based firm sends medical professionals to the homes of Medicare Advantage members to assess their health. Silingo claims she was fired la …"

"… fornia, was unsealed by a judge late last month. The suit also names four Medicare Advantage insurance plans which, Silingo alleges, “turned a blind eye” …"

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