Medicare Advantage patients find themselves in regulatory limbo

By Fred Schulte

States lack oversight but feds are struggling to keep with fast-growing health plans.

Excerpts from this story referencing "Health":

"… Jepsen called for federal officials to “aggressively scrutinize” UnitedHealthcare’s decision to drop a large number of doctors from its Medicare Advan …"

Feds seek new authority to recoup Medicare Advantage overcharges

By Fred Schulte

Impact: Feds act to recoup overcharges following Center investigation.

Excerpts from this story referencing "Medicaid":

"… king new power to recover excessive charges. The Centers for Medicare and Medicaid Services says its wants to set up “a formal process to recoup overpaymen …"

Medicare Advantage lobbying machine steamrolls Congress

By Fred Schulte

Under pressure, Medicare Advantage critics morph into defenders.

Excerpts from this story referencing "Center for Responsive Politics":

"… s industry over the past three election cycles, according to data from the Center for Responsive Politics. Franken alone has received at least $90,000 from the health services indu …"

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.

Excerpts from this story referencing "Government":

"… rcent growth overall between just two of the years in the data. Finally, a Government Accountability Office Report suggests it could be higher. A 3 percent aver …"

Medicare Advantage made simple: a glossary

By Fred Schulte

Definitions for lesser-known terms relating to Medicare.

Excerpts from this story referencing "Health":

"… rnment Health plan for low income people. CMS is part of the Department of Health and Human Services. Dual Eligibles: The term refers to people who ar …"

"… These patients are generally considered the most costly to treat. In-Home Health Assessments: Medicare Advantage plans tout these free “house calls …"

"… $9,900 per person in 2011. Risk Adjustment Data Validation (RADV) audits: Health plans collect medical data used to calculate patient risk scores. But mist …"

OPINION: drug firms say no to rebates, despite billions in new revenue from Part D

By Wendell Potter

Part D brought drug companies billions, but they say the sky is falling

Excerpts from this story referencing "Medicare Part D":

"… also eligible for Medicaid because of their low incomes.  Before the Medicare Part D drug program was created in 2006, the pharmaceutical industry paid rebates …"

"… s." And this: “The President has again proposed to upend the successful Medicare Part D prescription drug program by imposing government price controls on it.” …"

OPINION: Big Pharma's stranglehold on Washington

By Wendell Potter

Pharmaceutical firms are getting their money's worth on Capitol Hill.

Excerpts from this story referencing "Department of Veterans Affairs":

"… ut they pulled a fast one on us.  Insurers and hospitals and even the Department of Veterans Affairs can bargain with drug makers to get better deals on prices. But, incredibl …"

Medicare: An entitlement out of control

By David Nather

If Congress had known in 1965 how expensive Medicare would become, it might not have approved the program in the first place. So Lyndon John

Excerpts from this story referencing "health care law":

"… lchair. Republicans did it to the Democrats during the debate over the new health care law, and Democrats are doing it now, at the height of election season, as Repu …"

"… that problem has basically disappeared because of spending cuts in the new health care law. But critics in Congress and the federal government — including Medicare …"

"… icare payments and benefit their bottom lines, instead of patients.The new health care law President Obama signed in March was supposed to put the brakes on some Med …"

"… ams to reduce growing budget deficits.But all of the protests over the new health care law are only going to make it harder — not easier — to bring Medicare spen …"

Medicare patients received expired, terminated drugs

By Joe Eaton

Medicare patients in 2006-07 likely received more than $112 million worth of expired prescription drugs or drugs that have been pulled from

GAO says Medicare regulator followed the rules in Humana smackdown

By Joe Eaton

The Government Accountability Office is siding with Medicare administrators in a dispute with Humana Inc.— the nation’s largest private heal

Drug makers' dime funds Congressional travel

By Robert Brodsky

Pharmaceutical companies, affiliated trade groups spent more than $600,000 on trips

Drug industry influence timeline

What the pharmaceutical industry has gotten on its political investment

Excerpts from this story referencing "pharmaceutical industry":

"… from high-tech and communications companies, the measure is opposed by the pharmaceutical industry because of the possibility that it would weaken patent protections by redu …"

"… oxx and Bextra, both of which were removed from the market in 2005.2005The pharmaceutical industry mounts a successful $83 million effort to defeat Proposition 79 in Califor …"