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 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 …"

Critic of artificial sweeteners pilloried by industry-backed scientists

By Chris Young

Any criticism of the artificial sweetener industry is met with a barrage of criticism, often from questionable sources.

Excerpts from this story referencing "diabetes":

"… be at increased risk of excessive weight gain, metabolic syndrome, type 2 diabetes, and cardiovascular disease.” Seizing on the “opinion” tag, the foo …"

"… ted them with short- and long-term health problems, including weight gain, diabetes, cardiovascular disease — even cancer. The conflicting studies have spar …"

"… f sugary foods and beverages that are more clearly tied to weight gain and diabetes. But when it comes to long-term health effects, he says, “There is some …"

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 …"

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 …"

Health insurers have their way with regulators

By Fred Schulte

Billions in Medicare Advantage overpayments likely gone for good.

Excerpts from this story referencing "inspector":

"… nbsp; It took years for the Department of Health and Human Services (HHS) inspector general to publish those findings, and government officials have yet to pr …"

"… d.   And despite the bundle of taxpayer dollars on the line, the HHS inspector general didn’t do any more audits, and decided in 2013 to scrap similar …"

"… btain those audits. The CMS policy means that those six audits by the HHS inspector general — which does publish its findings — stand as the only public a …"

"… etailing Medicare Advantage billing practices over the past decade. Those inspector general’s audits began late in 2008. Drafts weren’t presented to the h …"

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 …"

Medicare Advantage made simple: a glossary

By Fred Schulte

Definitions for lesser-known terms relating to Medicare.

Excerpts from this story referencing "Medicaid":

"… hly premiums average about $35. Other terms The Centers for Medicare and Medicaid Services: Referred to as CMS, this federal agency oversees Medicare and Me …"

"… id Services: Referred to as CMS, this federal agency oversees Medicare and Medicaid, the government health plan for low income people. CMS is part of the Depa …"

"… les: The term refers to people who are eligible both for Medicare and Medicaid because they have low incomes. These patients are generally considered the …"

Health care costs will mushroom as injured veterans age

By Jessica Wilde

News21 investigation finds injured veterans returning from Iraq, Afghanistan will need costly care for decades.

Excerpts from this story referencing "diabetes":

"… s likely will lead to other medical issues, ranging from heart disease to diabetes, for example, as post-9/11 veterans age. “So we have the same phenomeno …"

"… smoking, substance abuse, depression, anxiety, heart disease, obesity and diabetes. Amputations are associated with obesity, cardiovascular disease, osteoart …"

"… eight at age 30 to 40, rather than treating his coronary artery disease or diabetes at age 50,” Geiling, Rosen and Edwards wrote. “Society is not yet con …"

OPINION: smoothing out Medicaid's 'churn'

By Wendell Potter

Proposed legislation would protect folks from briefly losing benefits.

Excerpts from this story referencing "diabetes":

"… o significant increases in hospitalization  for chronic diseases like diabetes, asthma and mental disorders. “Churning has a pervasive negative impact …"

In India, verdant terrain conceals clues to a fatal kidney disease

By Sasha Chavkin

How a rare kidney disease is killing laborers and vexing researchers in three countries.

Excerpts from this story referencing "Andhra Pradesh":

"… riking down the villagers of this remote agricultural belt in the state of Andhra Pradesh, India. In some villages, the disease has impacted from 24 to 37 percent o …"

"… ad karma, full of suffering.”Since their deaths, the state government of Andhra Pradesh has established new programs that assist Uddanam’s victims. A statewide …"

"… y Dr. Ravi Raju Tatapudi, a leading nephrologist who served three years as Andhra Pradesh’s director of medical education.But almost all of the area’s nephrolog …"

"… oor-to-door surveys in Uddanam for the Harvard study and grew up nearby in Andhra Pradesh, said the heat was so overwhelming one day, he had to stop and lie down wh …"

In Sri Lanka, breakthroughs, setbacks and a spiritual touch

By Sasha Chavkin and Anna Barry-Jester

How a rare kidney disease is killing laborers and vexing researchers in three countries.

Excerpts from this story referencing "diabetes":

"… a. Its victims are mostly male agricultural workers who do not suffer from diabetes or hypertension, the usual causes of the illness. The government and WHO c …"

As kidney disease kills thousands across continents, scientists scramble for answers

By Sasha Chavkin

How a rare kidney disease is killing laborers and vexing researchers in three countries.

Excerpts from this story referencing "kidney failure":

"… But the death toll reaches tens of thousands.More than 16,000 men died of kidney failure in Central America from 2005 to 2009, with annual deaths increasing more t …"

"… s along a nearly 700-mile stretch of the Pacific coast. Across the region, kidney failure has killed more than 2,800 men each year from 2005 to 2009, according to a …"

Report: Too little mental health care for boomers

By The Associated Press

Aging boomers to face hard time finding mental health care; report urges geriatric training

Excerpts from this story referencing "Psychiatry":

"… Dr. Paul D.S. Kirwin, president of the American Association for Geriatric Psychiatry. Adding stress may be loss of a professional identity with retirement, and …"

Health care options for young, healthy and broke

By The Associated Press

Insurance options for those with lots of health, little wealth: Is the cheapest choice best?

Excerpts from this story referencing "diabetes":

"… the 15 percent of young people who have chronic conditions like asthma or diabetes, and the young women looking to have a baby," said Aaron Smith, 30, co-fou …"

ANALYSIS: Why the insurance industry needs Obamacare to stay in business

By Wendell Potter

The insurance industry is banking on the individual mandate.

Excerpts from this story referencing "diabetes":

"… old, the chronically ill, and those with pre-existing conditions, such as diabetes.” And here’s what Larry English, the former president of Cigna He …"

Support our new investigation into a deadly disease killing agricultural workers

By Ellen Weiss

Support our investigation of a disease that is killing workers around the world.

Excerpts from this story referencing "diabetes":

"… dney disease is a manageable illness that mostly affects older people with diabetes and high blood pressure. But in Central America, each year thousands of ag …"

ANALYSIS: Slogans versus substance in the battle over ObamaCare's future

By Wendell Potter

Tea Party slogans distort the Affordable Care Act.

Excerpts from this story referencing "diabetes":

"… re born with disabilities or who developed life-threatening illnesses like diabetes or cancer. It was perfectly legal for them to refuse to sell coverage to a …"

ANALYSIS: This just in, insurers required to speak plain English

By Wendell Potter

Obamacare rule requires health insurers to speak plain English

Excerpts from this story referencing "Obama":

"… urers but also on healthcare.gov, the website created soon after President Obama signed the Affordable Care Act into law.In a statement issued after HHS an …"

Brominated battle: Soda chemical has cloudy health history

By Brett Israel

Experts now urge a closer look at a chemical, banned in other countries, now popping up in U.S. sodas.

Excerpts from this story referencing "Fanta":

"… mports.Flame retardant soda?The next time you grab a Mountain Dew, Squirt, Fanta Orange, Sunkist Pineapple, Gatorade Thirst Quencher Orange, Powerade Straw …"

ANALYSIS: Despite GOP claims, U.S. health care nowhere near 'best' in the world

By Wendell Potter

Americans pay more for health care than anyone in the world, but our system is not the best

Excerpts from this story referencing "Norway":

"… average expenditure per person in the U.S. is $7,960, a third more than in Norway, the second highest. The OECD average, by comparison, is just $3,233. (It …"

ANALYSIS: Losing the public relations war

By Wendell Potter

ObamaCare backers are being outhistled

Excerpts from this story referencing "diabetes":

"… worse than Americans when it comes to surviving cancer, being treated for diabetes, getting a hip replacement when needed and getting an appointment with a s …"

ANALYSIS: Obama plan helping those with pre-existing health conditions

By Wendell Potter

Obama health plan will prevent insurance firm denials for pre-existing conditions

Excerpts from this story referencing "diabetes":

"… .The list for automatic denial is long. It includes heart disease, cancer, diabetes, multiple sclerosis, muscular dystrophy and stroke and even allergies and …"

Podiatrists have their foot in the door

By Josh Israel and Kimberly Leonard

Podiatrists are taking advantage of payments for installing electronic health records

Excerpts from this story referencing "diabetes":

"… For diabetics I can keep a closer eye on them to help better manage their diabetes and potential complications.”Some in the medical community are not thril …"

Doctors skittish about health technology despite promise of big federal bucks

By Susan Jaffe

The federal government is paying physicians billions to adopt electronic health records, but doctors still aren't sure they want the cash

Excerpts from this story referencing "Health care":

"… n later, said Rosenbluth. You’ll need the time.Because there’s a catch.Health care providers have to do more than just own an electronic health record system …"

Nursing home patients put at risk by antipsychotic drugs, IG says

By Laurel Adams

Medicare claims for antipsychotic drugs given to nursing home patients in question

Excerpts from this story referencing "diabetes":

"… stem problem; tardive dyskinesia, a movement problem; high blood sugar and diabetes; and very low blood pressure resulting in dizziness and fainting.In 2009, …"

During Mitch Daniels’ decade at Eli Lilly, the drug giant paid billions in fines and settled thousands of lawsuits

By Joanne Kenen and Rochelle Sharpe

Eli Lilly paid billions in fines, settled thousands of lawsuits while Daniels was an executive at the drug giant

Excerpts from this story referencing "diabetes":

"… already mandated warning labels be put on Zyprexa to warn of the danger of diabetes, hyperglycemia and death. At that time, a Lilly spokeswoman said the compa …"

"… s of significant weight gain and increases in blood sugar that could cause diabetes. More than 16 percent of patients in the company’s clinical trials gaine …"

"… uring Daniels’ last year at the company, executives received advice from diabetes doctors retained as consultants, who warned: “Unless we come clean on th …"

Will digital technology reduce gap in health between rich and poor?

By Emma Schwartz

Two years ago, the Ethio American Health Center opened its doors in the nation’s capital, promising the country’s largest community of Ethio

Excerpts from this story referencing "Colorado":

"… he said.Yet, said David Adamson, director of a low-income health clinic in Colorado, Mountain Family Health Center, the focus on technology may overshadow oth …"

Are new digital networks part of the cure?

By Emma Schwartz

Targeting the chronically ill, Obama Administration bets millions

Excerpts from this story referencing "Medicare":

"… tudy in the Journal of the American Medical Association questioned whether Medicare disease management programs led to fewer hospital admissions and lowered c …"

Can Cleveland clinic be a model for digital medicine?

By Emma Schwartz

Hospital’s success with electronic records raises hope and caution

Excerpts from this story referencing "information technology":

"… nter that President Obama has praised for having “one of the best health information technology systems in the country.”Yet an examination of the hospital’s experienc …"

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