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 "Florida":

"… being provided,” Cosgrove said. …"

"… al health officials to improve reporting of risk score data. In the South Florida case, government lawyers have been investigating Humana, Inc. for several …"

"… hysician Olivia Graves against Humana. Graves, who has practiced in South Florida for more than three decades, alleges that a Humana-owned clinic …"

"… hing to stop it.. The U.S. Attorney’s Office declined to join the South Florida case even though a federal judge granted it 11 requests for more time to i …"

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 "Medicaid Services":

"… nt health or are not worth the price tag. But the Centers for Medicare and Medicaid Services (CMS), the agency that administers the program, has for the most part fail …"

"… or ineffective procedures. Most importantly, the Centers for Medicare and Medicaid Services have no authority to consider cost in their coverage policy decisions. By …"

"… cisions are actually made in Washington, D.C. The Centers for Medicare and Medicaid Services administers the program, but the nuts-and-bolts processes of running the p …"

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 "Eyelid":

"… ophthalmic plastic surgeon at the Center for Aesthetic and Reconstructive Eyelid and Orbital Surgery in Austin, Texas, said his practice is a top biller of …"

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 "Thomas Scully":

"… icare’s chronic vulnerability to abuse and fraud, several experts said. Thomas Scully, an architect of the Medicare pay scales during his White House days under …"

OPINION: Guess who would benefit from privatizing Medicare?

By Wendell Potter

Privatizing Medicare would help insurers, not seniors.

Excerpts from this story referencing "WellPoint":

"… has represented some of the country’s biggest health insurers, including WellPoint and Cigna, is advocating a gradual phase-in of the Ryan plan, similar to h …"

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 "spokeswoman":

"… on in donations to candidates in the 2009-2010 election cycle.A CareFusion spokeswoman reaffirmed the accuracy of her company’s disclosures but offered no comm …"

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 "America":

"… firms to lobby its interests. Pharmaceutical Research and Manufacturers of America, for example, hired Capital Tax Partners LLP, Dutko Worldwide, Mehlman Vog …"

"… ent Bill Clinton’s chief of staff, and created the think tank Center for American Progress.No. 4 (Tie): Capitol Tax Partners LLP28 clientsHow much cli …"

"… Foundation, National Association of County and City Health Officials, and American Association of Bioanalytics.With 700 lawyers in a dozen U.S. offices, the …"

"… o Rico Federal Affairs Administration, AstraZeneca Pharmaceuticals LP, and American Academy of Family Physicians.The firm has more than 1,000 lawyers in offi …"