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The weekly watchdog: Sept. 19 - Sept. 23

By Bill Buzenberg

In case you missed them, catch up on this week's top investigations from iWatch News

Excerpts from this story referencing "Medicare":

"… rs buying access and favors from the government.Insurers Push to Privatize MedicareThis week, News Analyst Wendell Potter discusses a new insurance industry p …"

"… nalyst Wendell Potter discusses a new insurance industry push to privatize Medicare. Insurers have salivated for years over the massive revenue stream they co …"

"… down the ‘slippery slope’ toward a complete corporate takeover of the Medicare program. (Insurers and their allies for years have warned Americans that e …"

Senators want more aggressive action to curb rampant Medicare fraud

By Joe Eaton

Hatch, Coburn, says federal health program for the elderly isn't weeding out scamsters, bad doctors

Excerpts from this story referencing "Medicare":

"… chance to review the letter. …"

"… his year.In the letter to Donald Berwick, administrator of the Centers for Medicare and Medicaid Services (CMS), Sen. Orrin Hatch, R-Utah, and Sen. Tom Coburn …"

"… MS), Sen. Orrin Hatch, R-Utah, and Sen. Tom Coburn, R-Oklahoma, wrote that Medicare contractors are allowing doctors and scam artists to retain Medicare billi …"

"… that Medicare contractors are allowing doctors and scam artists to retain Medicare billing privileges even if they have lost their medical licenses or have b …"

Report faults Medicare controls on widely abused drugs

By Joe Eaton

Beneficiaries easily went to multiple doctors for hydrocodone and oxycodone

Excerpts from this story referencing "Medicare":

"… the issue at Senate subcommittee hearing later today. …"

"… multiple doctors, says a new auditor’s report, underscoring the need for Medicare to better police its drug benefit program – an issue highlighted early t …"

"… an issue highlighted early this year by iWatch News.During 2008, 170,000 Medicare Part D beneficiaries acquired frequently abused drugs — primarily hydroc …"

"… O).  According to the investigation on so-called doctor shopping, 600 Medicare beneficiaries received prescriptions from as many as 87 medical practition …"

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Research methodology

By David Donald and Elizabeth Lucas

A look at how data was gathered for Medicare reporting

Excerpts from this story referencing "Medicare":

"… sts areas on a screening image that may contain tumors. …"

"… ors. …"

"… nd other reasons, the Center was limited to a 5 percent sample of national Medicare Part B data that contain claims for medical procedures, such as routine sc …"

"… are estimates and rounded and must be considered imprecise.The analysis of Medicare claims for prostate, cervical, colon and breast cancer screenings was base …"

Health information technology: Incentives may not always serve intended purpose

By Josh Israel and Kimberly Leonard

Some payments may be going to doctors who have been using electronic health records for years

Excerpts from this story referencing "Medicare":

"… als were included in the first batch to receive incentive payments through Medicare — payments that totaled $75 million. Those payments began during the two …"

"… two weeks following the launch of the program April 18 by the Centers for Medicare & Medicaid Services (CMS). The details of the initial batch were relea …"

"… ive software update.The incentive program, to be administered through both Medicare and Medicaid, is part of President Barack Obama’s 2009 economic stimulus …"

"… CMS spokesman said the agency has distributed nearly $400 million in both Medicare and Medicaid payments, and that by the end of the summer, that figure migh …"

Podiatrists have their foot in the door

By Josh Israel and Kimberly Leonard

Podiatrists are taking advantage of payments for installing electronic health records

Excerpts from this story referencing "Medicare":

"… t 12 percent — even though podiatrists make up only about 1.5 percent of Medicare physicians and practitioners.Those numbers are no accident, according to D …"

"… ded as eligible providers,” Christina said. In May, the Centers for Medicare & Medicaid Services (CMS) released a list of the first 320 recipients …"

"… the first 320 recipients of “meaningful use” incentive payments under Medicare.  At least 25 of those were doctors of podiatric medicine, nearly 8 p …"

"… iWatch News that podiatrists make up about 15,500 of the roughly 1,022,900 Medicare participating and non-participating physicians and practitioners — only …"

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In health care, number of claims denied remains a mystery

By Danielle Ivory

Are health insurance companies generally being fair and honest when they reject claims from policy holders?

Excerpts from this story referencing "Medicare":

"… e for maintaining health insurance standards and oversight, the Center for Medicare and Medicaid Services, does not gather compliance data, nor does it track …"

Fuzzy math? Rising costs in government's digital health stimulus

By Fred Schulte

Spending could be double the Obama Administration's public estimate of $19B

Excerpts from this story referencing "Medicare":

"… fice has estimated the government could save over 10 years in spending for Medicare and Medicaid if delivery of health care is made more efficient.Officials t …"

"… ho aren’t up and running five years from now will face payment cuts from Medicare, the federal health care plan for the elderly. Some of the Congressional B …"

Stimulus fuels gold rush for electronic health systems

By Fred Schulte

Competition among companies spawns bus tour, creative sales techniques

Excerpts from this story referencing "Medicare":

"… s that buy or update electronic systems can receive up to $44,000 in bonus Medicare payments per doctor over five years, starting in 2011. They can get the mo …"

"… er they get up and running, the more money they can get. On the flip side, Medicare plans to cut payments to those who fail to get wired up by 2015.“The law …"

Switch to electronic health records could miss federal targets

By Fred Schulte and Emma Schwartz

Cut in stimulus spending suggests early estimates of the cost for the switch were too optimistic

Excerpts from this story referencing "Medicare":

"… the office of e-health standards and services for the federal Centers for Medicare and Medicaid Services, told the Huffington Post Investigative Fund in an i …"

"… esident Obama in February, doctors can receive as much as $44,000 in extra Medicare payments for adopting electronic health records and making “meaningful u …"

"… t of them. Hospitals are also eligible to receive millions of dollars from Medicare under the plan. But providers who fail to adopt the technology by 2015 wil …"

"… rs who fail to adopt the technology by 2015 will be penalized with lowered Medicare payments.Since February, health officials have offered several different e …"

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