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” …"

Excerpts from this story referencing Medicare

"… legations. …"

"… are due next spring. GAO auditors will target efforts by the Centers for Medicare and Medicaid Services (CMS), which runs the senior care program, to ensure …"

"… are paid accurately and that any overpayments are recovered for taxpayers. Medicare Advantage is an alternative to standard Medicare and is mostly run by priv …"

Excerpts from this story referencing Medicare

"… om a private insurer unless we’re eligible for a government program like Medicare or Medicaid — you’d think it would be easy to discover which health pl …"

Excerpts from this story referencing Medicare

"… s need to do a better job ferreting out billing errors and overpayments to Medicare Advantage plans — mistakes which are estimated to cost taxpayers billion …"

"… xpayers billions of dollars every year, a top government researcher says. Medicare pays the privately-run Advantage health insurance plans, which cover more …"

"… n criticized for allegedly overstating how sick some patients are to boost Medicare revenue, a practice known as “upcoding.” Researcher Richard Kronick, …"

Excerpts from this story referencing Medicare

"… ung people for the exact same policy. The law also benefits seniors on Medicare by closing the donut hole in the prescription drug benefit and by covering …"

"… nd by covering preventive care, including screenings, and it is saving the Medicare program billions of dollars by gradually reducing the extra amounts the go …"

"… unts the government has been paying private insurers to participate in the Medicare Advantage program. All that said, the law falls short in many ways. While …"

Excerpts from this story referencing Medicare

"… ederal government works with insurers in the same way to handle claims for Medicare beneficiaries. Gifford also told me he’s in discussions with a number o …"

"… ompanies, to some extent. And he noted that government entities, including Medicare and state governments, are following a similar path. It’s a path that l …"

"… ey Peninsula in California, which earlier this year began offering its own Medicare Advantage plan to serve area seniors through a subsidiary called Aspire. …"

Excerpts from this story referencing Medicare

"… forming her that her disability payments, those of her daughter, and their Medicare benefits were being cut off. The Social Security Administration said she l …"

Excerpts from this story referencing Medicare

"… ated 78 million baby boomers in this country, I was delighted to hear that Medicare’s Hospital Trust Fund won’t run out of money until 2030 — 13 ye …"

"… attributed to the health care law, some of the provisions aimed at slowing Medicare spending, such as requiring Medicare to reduce payments to hospitals with …"

"… me of the provisions aimed at slowing Medicare spending, such as requiring Medicare to reduce payments to hospitals with high readmission rates, are likely he …"

Excerpts from this story referencing Medicare

"… sota retiree Doug Morphew needed surgery last year, he expected his Humana Medicare Advantage plan to step up and pay the lion’s share of the bill. Morphew …"

"… t Morphew’s formal complaint, and about two dozen others, to Centers for Medicare and Medicaid Services (CMS) administrator Marilyn B. Tavenner. Swanson ask …"

"… .” CMS said it is satisfied that Humana has largely fixed any problems. Medicare pays the privately run health plans — an alternative to traditional Medi …"

Excerpts from this story referencing Medicare

"… says, if rather then repealing Obamacare, Congress would lift a freeze in Medicare’s support for physician-training positions that has been in effect since …"

Excerpts from this story referencing Medicare

"… ut reporting to the state. Keep reading 6. About a third of all people on Medicare are covered by health plans that are susceptible to billing abuse Americ …"

"… ealth insurance plans are simply claiming they are. Our investigation into Medicare Advantage found that billions of tax dollars are wasted every year through …"

"… nd that billions of tax dollars are wasted every year through leakage of a Medicare payment tool called a “risk score.” The formula is supposed to pay hea …"

Excerpts from this story referencing Medicare

"… on the proposal is due by November 1. …"

"… ns exaggerate how sick their patients are and how much they cost to treat. Medicare expects to pay the privately run plans — an alternative to traditional M …"

"… e expects to pay the privately run plans — an alternative to traditional Medicare — some $160 billion this year. The HHS study does not directly accuse a …"

Excerpts from this story referencing Medicare

"… lic. The case is pending. …"

"… ally, are seeking new power to recover excessive charges. The Centers for Medicare and Medicaid Services says its wants to set up “a formal process to reco …"

"… Center for Public Integrity investigation published last month found that Medicare paid the health plans nearly $70 billion in “improper” payments — mo …"

Excerpts from this story referencing Medicare

"… d by industry. For example, advertisements placed by the “Coalition for Medicare Choices” on buses, in subway trains and on Washington TV stations warn t …"

"… is “preserving and strengthening the high quality coverage options that Medicare Advantage plans provide,” and features pictures of smiling senior citize …"

Excerpts from this story referencing Medicare

"… ederal officials need to step up efforts to investigate fraud and abuse in Medicare Advantage health plans treating millions of elderly Americans, a top gover …"

"… Commerce. The hearing was called to assess fraud and abuse safeguards in Medicare, which last year covered about 51 million people at a cost to taxpayers of …"

"… $50 billion of that amount was paid improperly, including $11.8 billion to Medicare Advantage plans. A Center for Public Integrity investigation published ea …"

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