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 "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 "Thomas Scully":

"… icare’s requirement that peripheral vision actually be impaired.   Thomas Scully, former Medicare administrator under George W. Bush, has a blunter assessm …"

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 "Medicaid":

"… n Washington. McClellan, a former director of the Centers for Medicare and Medicaid Services, or CMS, said the agency must send a message that it “won’t s …"

OPINION: Guess who would benefit from privatizing Medicare?

By Wendell Potter

Privatizing Medicare would help insurers, not seniors.

Excerpts from this story referencing "Thomas Scully":

"… e industry talking points. Last week an industry friend in high places — Thomas Scully, who headed the Medicare program during much of the George W. Bush adminis …"

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 "adviser":

"… MS administrator Thomas Scully, and Timothy Trysla, a former senior policy adviser at CMS.  Scully told iWatch News that contrary to statements on his f …"

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 "Center for Congressional and Presidential Studies":

"… almost exclusively to Democratic candidates.James Thurber, director of the Center for Congressional and Presidential Studies at American University, said that among the major players there are “no …"