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 "Obama administration":

"… y to cover millions of uninsured people. That’s consistent with an early Obama administration promise to reduce payments to the health insurers. But support for Medica …"

The other Washington could hold the key to Medicare's cost crisis

By Joe Eaton

Washington state won't pay for medical procedures that don't work. Why can't Medicare do that?

Excerpts from this story referencing "Congress":

"… ing measures, because its authority is limited, cuts are controversial and Congress frequently interferes. Washington state, however, is making the tough cho …"

"… vernor vetoed. “Medicare should be doing this, but it gets rolled by the Congress,” said Dr. Robert Berenson, a health policy expert at the Urban Institut …"

"… e Payment Advisory Commission (MEDPAC), an independent agency that advises Congress on issues affecting Medicare. Berenson pointed to several high-profile exa …"

"… s affecting Medicare. Berenson pointed to several high-profile examples of Congress meddling with coverage policy, including the case of the late Sen. Ted Ste …"

Eyelid lifts skyrocket among Medicare patients, costing taxpayers millions

By Joe Eaton and David Donald

Medicare paying more and more as critics question rationale for procedure that's often cosmetic.

Excerpts from this story referencing "Florida":

"… nd say that Medicare will pay, they will do it in much larger numbers.” Florida surgeon bills Medicare for more than 2,200 eye surgeries a year Surgeons …"

"… map of the United States. Yet 11 of the 20 highest billers in 2008 were in Florida, which is both an elderly mecca and the country’s foremost magnet for qu …"

"… stionable Medicare billing. Among the top surgeons, the data show a South Florida doctor billed Medicare more than $800,000 in 2008 for about 2,200 eyelid l …"

"… also a top biller in 2006 and 2007. The Center is barred from naming the Florida surgeon. A 1979 federal court injunction blocks the Department of Health a …"

How doctors and hospitals have collected billions in questionable Medicare fees

By Fred Schulte and David Donald

Center investigation suggests cost from upcoding and other abuses likely tops $11 billion.

Excerpts from this story referencing "Massachusetts":

"… tor Lynne Lewis helped trigger such a case after concluding that her boss, Massachusetts pain specialist Dr. Anil Kumar, was “upcoding” some bills. When she c …"

OPINION: Guess who would benefit from privatizing Medicare?

By Wendell Potter

Privatizing Medicare would help insurers, not seniors.

Excerpts from this story referencing "Humana":

"… would, a major source of new income for the companies I used to work for (Humana and Cigna) and the other insurers that participate in the Part D program. …"

Top health information technology firms prefer 'revolving door' lobbyists

By Josh Israel

Top health information technology firms want lobbyists with Capitol Hill or executive branch experience

Excerpts from this story referencing "Senate":

"… 100 largest health IT companies by annual revenue.  According to the Senate Office of Public Records, 15 of the companies in the 2010 ranking — most …"

"… behalf of top health IT companies previously held staff positions with the Senate’s Health, Education, Labor, and Pensions Committee, which claims “a br …"

"… representing HCI 100 health IT companies were five former staffers for the Senate Finance Committee, one former House Committee on Ways & Means aide, an …"

Washington lobbying giants cash in on health reform debate

By Joe Eaton, M.B. Pell and Aaron Mehta

While patients, taxpayers and lawmakers debate the impact of the health care reform law President Obama signed on Tuesday, one result of the

Excerpts from this story referencing "president":

"… r Bill Frist; and David Castagnetti, a senior strategist in John Kerry’s presidential campaign.No. 7 (Tie): Sonnenschein Nath & Rosenthal LLP23 clie …"