Category Archives: Medicare

Medicare Advantage Pilot Allows Insurers to Use Telemedicine

Politico reports that CMS said its “Innovation Center is expanding a Medicare Advantage model and will allow consults ‘via real-time interactive audio and video’ for diabetics and tobacco cessation treatment for COPD patients.” The piece points out that this pilot offers … Continue reading

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Life Care Centers Lawsuit to End in Settlement

McKnight’s Long Term Care News reports a False Claims Act lawsuit against Life Care Centers of America, “which was accused of providing unnecessary therapy services to maximize reimbursements,” will end in a settlement. The case involved the “controversial topic of statistical … Continue reading

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Genesis HealthCare Settles Fraud Lawsuits for $53.6 Million

The Philadelphia Inquirer reported that Genesis HealthCare Inc will pay the federal government $53.6 million to settle six lawsuits alleging the company’s subsidiaries filed fraudulent Medicare and Medicaid claims and provided “grossly substandard” patient care, according to a US Justice Department … Continue reading

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New Medicare Cards Coming: Watch Out for Scam Calls

An Alabama TV station ran an important article about the new Medicare cards due to be issued over the next two years. Please read the article. Here are the opening paragraphs: The Centers for Medicare and Medicaid Services (CMS) announced … Continue reading

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Sen. Warren Blasts Mylan Settlement with DOJ as “Shamefully Weak”

Bloomberg Business reports that Sen. Elizabeth Warren (D-MA) “is the latest critic of the $465 million settlement that drugmaker Mylan NV said it reached with the federal government over Medicaid rebates for its EpiPen allergy shot.” In a letter to Attorney General … Continue reading

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16 in Dallas Area Indicted in Medicare Hospice Scheme That Preyed on Most Vulnerable

These are allegations only at this point, but if true, this is a shameful story of medical professionals taking advantage of the most vulnerable senior citizens. Here are the opening paragraphs of an article in the Dallas Morning News: The owner … Continue reading

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Health Insurance for the Elderly: The Wise Choice

Making the right choice on health insurance is an important part of living a happy life in your golden years. Health insurance that suits your needs also benefits your estate plan. Without adequate health insurance planning, your savings and assets … Continue reading

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$4 a Month? Social Security Recipients to Get Tiny Increase

The Associated Press reports that seniors will receive only a small increase in benefits in 2017, mostly offset by an increase in Medicare premiums. Here are the opening paragraphs from the article: Millions of Social Security recipients and federal retirees … Continue reading

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Former CareFlite Employees Allege Company Overbilled Medicare, Medicaid

The Dallas Morning News reports two former employees have filed a suit against CareFlite, “a nonprofit air and ground medical service provider,” alleging the company committed healthcare fraud by “charging the government for services that were ‘not medically necessary.’” They say CareFlite … Continue reading

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Ex-CEO Claims He Was Fired For Reporting Medicare Fraud

The Oregonian reports that the former CEO of a health care provider in Roseburg, Oregon “filed a federal whistleblower lawsuit claiming he was fired and blacklisted after reporting $10 million in fraudulent Medicare payments to Douglas County doctors.” Dr. Robert Dannanhoffer “claims … Continue reading

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