Excerpts from this story referencing Medicare

"… ley, R-Iowa, wants federal health officials to tighten scrutiny of private Medicare Advantage health plans amid ongoing concern that insurers overbill th …"

"… luential chairman of the Senate Judiciary Committee, has asked Centers for Medicare and Medicaid Services (CMS)  officials to explain why they faile …"

"… llect nearly $125 million in potential overcharges identified at five Medicare Advantage plans audited in a single year. In an April 17 letter  …"

Excerpts from this story referencing Medicare

"… it that accuses insurance giant UnitedHealth Group of fraud in its popular Medicare Advantage health plans. Justice officials filed legal papers to intervene …"

"… another whistleblower. Swoben has accused the insurer of “gaming” the Medicare Advantage payment system by “making patients look sicker than they are, …"

"… ses could prove to be among the “larger frauds” ever against Medicare, with damages that he speculates could top $1 billion. UnitedHealth spoke …"

Excerpts from this story referencing Medicare

"… . Centene Corporation, a healthcare company that provides services through Medicare, Medicaid and state health insurance exchanges, was the largest single don …"

Excerpts from this story referencing Medicare

"… initiative to fight AIDS in foreign countries, and audits of the Medicare Advantage program. For which Center stories/projects have FOIA litig …"

"… hrough a settlement in 2010, we were able to obtain about two terabytes of Medicare claims data that we used in “Cracking the Codes” to show how some medi …"

Excerpts from this story referencing Medicare

"… ave taxpayers hundreds of millions of dollars annually by auditing private Medicare Advantage insurance plans that allegedly overcharged the government for me …"

"… he government for medical services. An initial round of audits found that Medicare had potentially overpaid five of the health plans $128 million in 2007 alo …"

"… Under intense pressure from the health insurance industry, the Centers for Medicare and Medicaid Services quietly backed off their repayment demands and settl …"

Excerpts from this story referencing Medicare

"… al meltdown to the under-reporting of campus sexual assault to the methods Medicare providers used to overcharge the government. Donald’s work with senior …"

"… nment. Donald’s work with senior investigative reporter Fred Schulte on Medicare billing was twice (in 2012 and 2014) honored with the Philip Meyer Award, …"

"… rnment data the Center aptly dissected the shocking shortcomings” of the Medicare Advantage program. Over the course of his career, Donald was also honored …"

Excerpts from this story referencing Medicare

"… initiative to fight AIDS in foreign countries, and audits of the Medicare Advantage program. "The 17 represent just a small fraction of the th …"

Excerpts from this story referencing Medicare

"… s. …"

"… etes and depression. The Center for Public Integrity recently obtained 37 Medicare Advantage plan audits from federal health officials through a Freedom of I …"

"… ince been paid back— many plans are still  appealing the findings. Medicare Advantage is a privately-run option to standard Medicare which has been gr …"

Excerpts from this story referencing Medicare

"… e for a story on a GAO report that essentially confirmed Fred’s terrific Medicare Advantage stories. The pickup also underscored the power of Fred’s work, …"

"… , and picked up by Kaiser Health News, POLITICO and STAT. Fred’s ongoing Medicare reporting also got a shout-out from the Washington Post. More long hours …"

Excerpts from this story referencing Medicare

"… n late February, is pending. Humana has declined to comment on it. …"

"… ly. The privately run plans, an alternative to traditional fee-for-service Medicare,  have proven popular with seniors and have enrolled more than 17 mil …"

"… ity investigation, also enjoy strong support in Congress. GAO took aim at Medicare’s primary tactic for recouping overcharges, a secretive, and lengthy, au …"

Excerpts from this story referencing Medicare

"… e giant Humana Inc., which operates some of the nation’s largest private Medicare health plans, knew for years of billing fraud at some South Florida clinic …"

"… ky-based insurer, which treats more than 3 million elderly patients in its Medicare Advantage plans nationwide. The case could also spotlight costly flaws in …"

"… in the government’s complex and controversial method for paying private Medicare health plans. The Baez suit targets a billing formula called a risk score …"

Excerpts from this story referencing Medicare

"… eporter Fred Schulte’s investigative series into systematic waste in the Medicare Advantage program has been awarded second place in the Awards for Excellen …"

"… roject for the Center found that billions of dollars paid to privately run Medicare Advantage plans are wasted every year through manipulation  of “ris …"

"… ients and less for healthy people – but the formula often pays too much. Medicare Advantage plans now cover more than 16 million seniors at an estimated cos …"

Excerpts from this story referencing Medicare

"… shes the stabbing pain rheumatoid arthritis causes in her joints. Although Medicare helps cut the $40,000-per-year list price for prescription Enbrel, she sai …"

Excerpts from this story referencing Medicare

"… ished with NPR. …"

"… he money as possible, newly released government records show. Centers for Medicare and Medicaid Services records reveal that officials there as early as 2008 …"

"… that officials there as early as 2008 identified a group of privately-run Medicare Advantage health plans they suspected of ripping off the government, even …"

Excerpts from this story referencing Medicare

"… every tool at our disposal…” Donovan cited problems with traditional Medicare, which pays doctors and hospitals on a “fee-for-service” basis, as wel …"

"… ch pays doctors and hospitals on a “fee-for-service” basis, as well as Medicare Advantage, its fast-growing, privately run alternative. The private insura …"

"… not respond to emails and a phone message seeking comment. The Centers for Medicare and Medicaid Services, the branch of HHS which oversees the health program …"

Excerpts from this story referencing Medicare

"… e to do that.” …"

"… rally funded but privately run alternatives to traditional fee-for-service Medicare, can provide better care—at lower cost—than the government. One of my …"

"… elieved the PR, so much so that I encouraged my own parents to enroll in a Medicare Advantage plan. But is the PR true? The answer is, we don’t know, and we …"

Excerpts from this story referencing Medicare

"… g firm and more than two dozen health plans for the elderly of ripping off Medicare by conducting in-home patient exams that allegedly overstated how much the …"

"… years alleging billing fraud and lax government oversight of privately-run Medicare Advantage plans that have proven increasingly popular with senior citizens …"

"… visit elderly people in their homes and evaluate their health on behalf of Medicare Advantage plans. But the health assessments exaggerated how ill patients …"

Excerpts from this story referencing Medicare

"… icans have long dreamed of finding a way to either privatize or get rid of Medicare, a program that has provided access to health care for well over 100 milli …"

"… clear a few days ago, that dream is still alive. While many Democrats and Medicare beneficiaries were making plans to celebrate the program’s 50th birthday …"

"… nders of Vermont hailed it as a huge success during a speech at a rally of Medicare-for-All supporters outside the Capitol Thursday—Bush was telling a small …"

Excerpts from this story referencing Medicare

"… Marilyn Tavenner, who served as the chief administrator of the Centers for Medicare and Medicare Services from 2013 until she stepped down in February. Taven …"

"… ner, who served as the chief administrator of the Centers for Medicare and Medicare Services from 2013 until she stepped down in February. Tavenner’s appoi …"

"… wartz, a Pennsylvania Democrat, to head its newest front group, the Better Medicare Alliance. These two hires tell us all we need to know about where insuran …"

Excerpts from this story referencing Medicare

"… at work. And in an ironic twist, the GOP’s insistence that billions of Medicare dollars must flow through private insurers is a major factor in the recent …"

"… e of the aging Baby Boomers. Millions of Boomers are becoming eligible for Medicare every year, and the Medicare program has contributed billions of dollars i …"

"… Millions of Boomers are becoming eligible for Medicare every year, and the Medicare program has contributed billions of dollars in revenue and profits to the …"

Excerpts from this story referencing Medicare

"… sed as the result of a lawsuit detail widespread billing errors in private Medicare Advantage health plans going back years, including overpayments of thousan …"

"… thousands of dollars a year for some patients. Since 2004, privately run Medicare Advantage plans, an increasingly popular alternative to traditional Medica …"

"… dicare Advantage plans, an increasingly popular alternative to traditional Medicare, have been paid using a risk score calculated for each patient who joins. …"

Excerpts from this story referencing Medicare

"… d in a secret legal battle with UnitedHealth Group, the nation’s biggest Medicare Advantage insurer, after a government audit detected widespread overbillin …"

"… ns, newly released records show. The audit, completed in 2012, found that Medicare had paid too much for nearly half of a sample of patients enrolled at Paci …"

"… RADV. They test the accuracy of a billing tool called a “risk score.” Medicare uses risk scores to pay health plans higher rates for sicker people and le …"

Excerpts from this story referencing Medicare

"… ic Health. Using 2012 data provided by 4,483 hospitals to the Centers for Medicare and Medicaid Services, Bai and Anderson found that those 50 had an average …"

"… erson found that those 50 had an average markup of 1,013 percent over what Medicare pays for the thousands of items on hospitals’ “chargemasters.” (Char …"

"… t the hospital charged $79,350 to treat a hemorrhage. That’s compared to Medicare’s reimbursement of $5,177. As the authors noted in their Health Affairs …"

Excerpts from this story referencing Medicare

"… for the government to negotiate with drug companies when they enacted the Medicare drug benefit in 2003. It’s telling that, in response to Ignagni’s rhe …"

Excerpts from this story referencing Medicare

"… re McCaskill wants federal officials to step up oversight of privately-run Medicare Advantage health plans treating the elderly, citing allegations by whistle …"

"… es E. Grassley asked Attorney General Loretta Lynch to tighten scrutiny of Medicare Advantage health plans suspected of overcharging the government, saying bi …"

"… billing tool called a “risk score,” which is intended to pay Medicare Advantage insurers higher rates for taking sicker people and less for thos …"

Excerpts from this story referencing Medicare

"… . Grassley has asked Attorney General Loretta Lynch to tighten scrutiny of Medicare Advantage health plans suspected of overcharging the government, saying bi …"

"… rs to Lynch and Andrew M. Slavitt, acting Administrator of the Centers for Medicare and Medicaid Services, Grassley wanted to know what both agencies have don …"

"… surance program for years. “Safeguards become all the more important as Medicare Advantage adds more patients and billions of dollars of hard-earned taxpay …"

Excerpts from this story referencing Medicare

"… as mostly a ho-hum day on Wall Street­ — but not for companies offering Medicare Advantage plans. Several of those firms hit the jackpot, tacking on billio …"

"… harging the government. The stocks took off after the federal Centers for Medicare and Medicaid Services advised the health plans in a memo that it was rethi …"

"… mo that it was rethinking a move to ratchet up audits of the privately run Medicare plans. Some of these plans are run by publicly traded insurance companies …"

Excerpts from this story referencing Medicare

"… side the Beltway. “Today I will begin as President and CEO of the Better Medicare Alliance,” she told her “friends and supporters.” The Better Medica …"

"… dicare Alliance,” she told her “friends and supporters.” The Better Medicare Alliance is a so-called 501(c)(3) nonprofit that appears to have been crea …"

"… with APCO on several projects during my years at Cigna.  The Better Medicare Alliance’s raison d’etre is to widen the federal spigot of taxpayer do …"

Excerpts from this story referencing Medicare

"… week to inform us that it recovered $3.3 billion in fraudulent payments to Medicare health care providers in fiscal year 2014. Officials even went so far as t …"

"… urnal, which, like the Center for Public Integrity, has been investigating Medicare fraud and abuse. In a story that appeared in the Journal before the offic …"

"… ve cracked down on tens of thousands of health care providers suspected of Medicare fraud,” an effort she said is helping to extend the life of the Medicare …"

Excerpts from this story referencing Medicare

"… l health officials were advised in 2009 that a formula used to pay private Medicare plans triggered widespread billing errors and overcharges that have since …"

"… ons of tax dollars, newly released government records show. Privately run Medicare Advantage plans offer an alternative to standard Medicare, which pays doct …"

"… . Privately run Medicare Advantage plans offer an alternative to standard Medicare, which pays doctors for each service they render. Under Medicare Advantage …"

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