Nursing homes serving minorities offering less care than those housing whites

By Jeff Kelly Lowenstein

Nursing homes serving blacks, Latinos provide less daily registered nurse care than those housing whites.

Excerpts from this story referencing "Nursing":

"… of more than 15,000 skilled Nursing facilities nationwide. That website, Nursing Home Compare, is promoted by the government and widely used by the public …"

"… rity investigation has raised questions about the accuracy of the oft-used Nursing Home Compare information. Critics say it may reflect staffing levels that …"

"… affing levels, especially among registered nurses, than those reflected in Nursing Home Compare. In 2005 the federal Centers for Medicare and Medicaid Servic …"

"… c. Hundreds of majority-black homes throughout the country were listed in Nursing Home Compare as providing a little more than a half-hour of registered nur …"

Analysis shows widespread discrepancies in staffing levels reported by nursing homes

By Jeff Kelly Lowenstein

Analysis shows staffing levels lower than what's reported on public website.

Excerpts from this story referencing "Nursing home":

"… ing levels at the home that were lower. Much lower. A systematic problem Nursing homes across the country had similar reporting discrepancies between the two so …"

Methodology for our nursing homes investigation

By Jeff Kelly Lowenstein and Ben Wieder

Center compared self-reported staffing numbers with Medicare data

Excerpts from this story referencing "Nursing":

"… the results of that calculation with 2012 data it had downloaded from the Nursing Home Compare website and calculated which dataset reported the higher staf …"

"… r of standard survey inspections for each year from 2008 to 2012, and used Nursing Home Compare to compute the difference in the number of Nursing homes in t …"

"… Center identified those homes which received a 5-star overall rating from Nursing Home Compare and which had less than a 10 percent difference between the s …"

"… ich had less than a 10 percent difference between the staffing levels from Nursing Home Compare and the daily average calculated through the cost reports for …"

Running a five-star nursing home

By Jeff Kelly Lowenstein

Top-rated homes had more nurses, less turnover

Excerpts from this story referencing "Health":

"… p; …"

"… omes, the studies said. Jack Wagoner, administrator of the Carlton Shores Health and Rehabilitation Center in Daytona Beach, Florida, said several of the n …"

"… nt, according to a 2012 report by nursing home industry group the American Health Care Association. Buckland estimated that half of the staff at Woodview ha …"

"… as about 55 percent for all of the homes analyzed. Bita Kash, professor of Health Policy and Management at Texas A & M University, said Medicaid’s com …"

Another whistleblower suit alleges Medicare Advantage fraud

By Fred Schulte

California litigation alleges 'house calls" yielded false claims

Excerpts from this story referencing "Ohio":

"… ites problems with in-home health visits to Medicare Advantage patients in Ohio, New York, California, Texas, Oregon and Virginia.   The four health …"

GAO takes on Medicare Advantage spending

By Fred Schulte

GAO will investigate program spending.

Excerpts from this story referencing "Miami":

"… dicare Advantage insurers are stacking up in federal courts. In one case, Miami physician Olivia Graves alleged that a Humana-affiliated clinic had diagno …"

Comparison shopping for a health plan

By Wendell Potter

California makes it easy to do your homework.

Excerpts from this story referencing "Health":

"… plans, you can go to Healthcare.gov, maintained by the U.S. Department of Health and Human Services, or a private online source like Healthinsurance.org, w …"

"… patient experience. They were followed by Blue Shield of California, Sharp Health Plan (in greater San Diego), and Western Health Advantage (in the Sacramen …"

"… hield of California, Sharp Health Plan (in greater San Diego), and Western Health Advantage (in the Sacramento area). All of those plans are also nonprofits …"

"… ts. The plans with the fewest stars were Aetna, Anthem Blue Cross, Cigna, Health Net and UnitedHealthcare of California, all for-profit companies. Convers …"

A call for more scrutiny of private Medicare Advantage plans

By Fred Schulte

Researchers say aggressive billing by private plans may require more scrutiny

Excerpts from this story referencing "Health":

"… “upcoding.” Researcher Richard Kronick, director of the Department of Health and Human Services’ Agency for Healthcare Research and Quality, said off …"

"… ick, director of the Department of Health and Human Services’ Agency for Healthcare Research and Quality, said officials should consider tightening audit …"

"… ed to kill or scale back planned pay cuts to the Health plans. America’s Health Insurance Plans, the industry’s primary trade group, spent nearly $5 mil …"

"… p overpayments. Clare Krusing, director of communications for America’s Health Insurance Plans, did not respond directly to a question about the payment …"

How a coal miner's autopsy proved a top doctor wrong

By Chris Hamby

When a coal miner's lungs finally gave out, his autopsy proved a top doctor was wrong — giving hope to thousands of other miners.

Excerpts from this story referencing "Health":

"… -ray-reading program at the National Institute for Occupational Safety and Health (NIOSH), which licenses physicians such as Wheeler to examine films for bl …"

New types of health care delivery are improving the 'patient experience'

By Wendell Potter

Commentary: eliminating role of insurers could improve health care delivery.

Excerpts from this story referencing "Health":

"… s in It for Me? What Everyone Needs to Know About the Affordable Care Act. …"

"… fact, in some ways they have been part of the problem. Providence-Swedish Health Alliance, a not-for-profit, hospital-based accountable care organization ( …"

"… he Health insurance market are hiring companies like Chicago-based Valence Health, a fast-growing firm that offers services ranging from claims adjudication …"

"… in: An Insurance Company Insider Speaks Out on How Corporate PR is Killing Health Care and Deceiving Americans and Obamacare: What’s in It for M …"

Taking insurance companies out of health care

By Wendell Potter

If Boeing experiment flies, health care system could be transformed.

Excerpts from this story referencing "the Boeing":

"… solely on the number of tests and procedures they do. What distinguishes the Boeing ACOs, aside from the fact that no insurers are involved, is that they are …"

"… ain that big employers all over America will be paying close attention. If the Boeing ACO experiment demonstrates savings, expect to see many more in the near f …"

"… e, with today’s big health insurers being largely out of the picture. If the Boeing experiment flies.  Wendell Potter is the author of Deadly …"

Dire predictions of endless waits for a doctor have proven unfounded

By Wendell Potter

Commentary: Obamacare has not resulted in long waits for a doctor.

Excerpts from this story referencing "Health":

"… out. To find out if the critics’ were prescient or way off base, Kaiser Health News reporter Phil Galewitz went looking for problems. He didn’t find ma …"

National Academy of Sciences agrees with EPA that formaldehyde causes cancer

By David Heath

To the chemical industry's chagrin, a National Academy of Sciences review found that formaldehyde causes cancer.

Excerpts from this story referencing "American Chemistry Council":

"… eing declared a known carcinogen. The industry’s chief lobby group, the American Chemistry Council, has persuaded members of Congress that the findings of both the Environme …"

"… e 2011” report, Cal Dooley, president and chief executive officer of the American Chemistry Council, said in a statement titled “The Safety of Formaldehyde is Well-Studied …"

"… fer Sass, a scientist at the Natural Resources Defense Council, called the American Chemistry Council’s efforts “a vicious attack on government scientific assessments [mean …"

"… f the 2011 formaldehyde review. Forty-seven assessments are affected. The American Chemistry Council said in its statement that the academy “misses an opportunity to advance …"

Ten major findings from our investigations so far this year

By Jared Bennett and Sarah Whitmire

Investigations from the first half of 2014

Excerpts from this story referencing "Washington":

"… outh and the many misleading ways special interests push an agenda in Washington.  Until then, we wanted to review some of the top findings from our …"

How Medicare Advantage plans code for cash

By Fred Schulte

Federal study criticizes Medicare Advantage and calls for changes.

Excerpts from this story referencing "Medicaid":

"… last month on an online research site run by the Centers for Medicare and Medicaid Services, part of HHS. Kronick directs the HHS Agency for Healthcare Resea …"

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 …"

Even low doses of arsenic trigger cancer in mice, study finds

By David Heath

Study by the National Institutes of Health found levels of arsenic similar to what some people consume caused cancer in mice.

Excerpts from this story referencing "cancer":

"… ses of arsenic and were surprised to find that many of them developed lung cancer, according to a study just published. What made the results so surprising …"

"… and Bangladesh have shown that people who drink high doses of arsenic get cancer skin, bladder and lung cancer. High levels of arsenic in well water in Ban …"

"… t people who drink high doses of arsenic get cancer skin, bladder and lung cancer. High levels of arsenic in well water in Bangladesh created one of the wor …"

"… the legal limit of arsenic in water each day, 730 will get lung or bladder cancer from it. Some scientists argue that there is a threshold dose, below whic …"

What to do if your drinking water contains arsenic

By David Heath

Millions of Americans unwittingly consume arsenic, a potent carcinogen also linked to IQ deficits in children, in their drinking water.

Excerpts from this story referencing "diabetes":

"… e include bladder, lung, liver and skin cancer, heart disease, strokes and diabetes. Recent studies have suggested that arsenic may cause IQ deficits in child …"

Medicare Advantage plans require more scrutiny

By Fred Schulte

Government inspector says private Medicare plans difficult to investigate due to lack of access to data.

Excerpts from this story referencing "Congress":

"… gin requiring Medicare Advantage plans to report fraud to the government. Congress created Medicare Advantage in 2003 to encourage private insurance companie …"

Praise for UK-style health system vindicates spurned nominee

By Wendell Potter

Former Medicare chief's support for UK's health care system may win votes in race for governor of Massachusetts.

Excerpts from this story referencing "Medicare":

"… dely respected physician and health policy expert, to lead the Centers for Medicare and Medicaid Services (CMS). Despite having broad support among other heal …"

Get involved: Help Medicare Advantage investigation go further with donations and news tips

Join us in finding problems with Medicare Advantage billing, “risk scores”, or home visits.

Home is where the money is for Medicare Advantage plans

By Fred Schulte

Medicare Advantage home visits may not improve health, but boost risk scores and cost taxpayers billions.

Excerpts from this story referencing "Virginia":

"… plans are paid fairly for taking on that responsibility. Scott Weiner, a Virginia Medicare billing expert, said health plans that don’t bill aggressively …"

"… , said Brian Wise, chief executive officer of Advance Health in Chantilly, Virginia. “I know there is a lot of good happening. People who are in danger are …"

150 billion reasons Medicare Advantage matters

By Eleanor Bell

Reporter Fred Schulte discusses his investigation into billions of dollars misspent on Medicare Advantage plans.

Why Medicare Advantage costs taxpayers billions more than it should

By Fred Schulte, David Donald and Erin Durkin

Critics warned of billing abuse in Medicare Advantage health plans, but oversight is lagging.

Excerpts from this story referencing "Medicare":

"… ee-part series. In South Florida, one of the nation’s top privately-run Medicare insurance plans faces a federal investigation into allegations that it ove …"

"… ivate health care plans for seniors ran up more than $100 million in added Medicare charges after asserting patients they signed up also were much sicker than …"

"… ormal — a claim many experts have challenged. In Rochester, New York, a Medicare plan was paid $41 million to treat people with serious diseases — even t …"

"… had those diseases. These health plans and hundreds of others are part of Medicare Advantage, a program created by Congress in 2003 to help stabilize health …"

Whistleblower suit says health plan cheated government out of more than $1 billion

By Fred Schulte

Lawsuit: executives worried health plan would be ‘screwed’ if feds heard of overcharges.

Excerpts from this story referencing "Healthcare":

"… er government health official claims, he discovered that the plans — MMM Healthcare and PMC Medicare Choice — had been cheating Medicare out of hundreds of …"

"… ts 2012 annual financial report to insurance officials in Puerto Rico, MMM Healthcare stated that it had not been subject to a CMS payment audit. However, in l …"

Explaining Medicare Advantage, and why it matters to you

By Fred Schulte and Sarah Whitmire

Explaining risk scores, Medicare Advantage and what alleged overbilling could mean for the Affordable Care Act.

Excerpts from this story referencing "Congress":

"… ervices and less for healthy people. Why were risk scores adopted?  Congress wanted to make sure health plans wouldn’t shy away from taking sicker pa …"

Center sues in an effort to make Medicare Advantage files public

By Fred Schulte

Center sues to make records public.

Excerpts from this story referencing "Medicaid":

"… r reporter Fred Schulte requested records from the Centers of Medicare and Medicaid Services (CMS), an arm of HHS, in a May 21, 2013, letter. The letter asked …"

A different way of thinking about health care

By Wendell Potter

Commentary: Canadians take pride in their health care system.

Excerpts from this story referencing "Insurance":

"… eanwhile, back in the states, Karen Ignagni, the CEO of America’s Health Insurance Plans, claimed during a recent C-SPAN interview that people longed for the …"

The Canadian health care system I disparaged

By Wendell Potter

Commentary: health care system up north is more efficient.

Excerpts from this story referencing "Congress":

"… program, but only for folks 65 and older and some younger disabled people. Congress also created the federal and state-administered Medicaid program for the n …"

"… ate to state, and (2) the prescription drug benefit (Medicare Part D) that Congress added a few years ago. The Canadian Medicare program is akin to our Medica …"

American-style health care system pushed in Canada

By Wendell Potter

Canada's conservative Prime Minister Stephen Harper wants to remake nation's health care system.

Excerpts from this story referencing "America":

"… nfluence the debate on health care reform. Our number one objective: make Americans so afraid of “heading down the slippery slope toward socialism” that …"

"… . Leading the scare campaign behind the scenes was the trade association, America’s Health Insurance Plans. With help from a right-wing Canadian outfit ca …"

"… ser Institute, which has received funding from the Koch brothers and other American donors, AHIP put together a three-ring binder of talking points for insur …"

"… he north about the dangers of “heading down the slippery slope” toward American-style health care. The reality is that Canadians spend far less per capi …"

Pages