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 "Medicaid":

"… vantage has faced much less scrutiny. The federal Centers for Medicare and Medicaid Services didn’t try to recoup overpayments until 2012, eight years after …"

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 "insurance":

"… are’s fiscal health contained a shred of good news — the public health insurance program for the elderly is burning through cash at a slightly slower rate …"

"… evaluates medical procedures and devices paid for by state public employee insurance, worker’s compensation and Medicaid, the joint federal-state insurance p …"

"… e insurance, worker’s compensation and Medicaid, the joint federal-state insurance program for low-income individuals and families. The assessment program is …"

"… would have saved billions. Limiting or rationing care paid for by public insurance programs is at the center of the broader health policy debates and pits fi …"

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 "Hawaii":

"… e-payment probe of functional eyelid surgery claims in California, Nevada, Hawaii and the Pacific Islands. In California, where the probe is complete, Palme …"

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 "California":

"… . In May 2011, Medicare contractor Palmetto GBA notified more than 11,000 California doctors that it would begin auditing their claims for office visits after …"

"… icare patients if the government doesn’t back off. In December of 2011, California Medical Association president Dr. James T. Hay fired off a letter to feder …"

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 "Thomas Scully":

"… 000 to Alston & Bird for a team that includes former CMS administrator Thomas Scully, and Timothy Trysla, a former senior policy adviser at CMS.  Scully t …"

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 "Obama":

"… rs and lawmakers debate the impact of the health care reform law President Obama signed on Tuesday, one result of the epic battle is clear: a bonanza for K …"