Medicare
For Medicare Patients, Costs of MS Drugs Rise Sevenfold Over 10 Years
By Amy Norton, U.S. News. Medicare patients with multiple sclerosis (MS) saw their medication costs soar by more than sevenfold over a decade, a new study finds. It’s no secret that the costs of MS… Read More
Medicare Advantage Organizations Overturn 75% of Their Denials
By Kelly Gooch, Beckers Hospital Review. A recent investigation by the U.S. Office of Inspector General found between 2014 and 2016, Medicare Advantage organizations overturned 75 percent of their preauthorization and payment denials upon appeal. The OIG’s… Read More
DaVita Settles Huge Whistleblower Lawsuit Over Medicare Fraud
By Fred Schulte, KHN News. One of the nation’s largest dialysis providers will pay $270 million to settle a whistleblower’s allegation that it helped Medicare Advantage insurance plans cheat the government for several years. The settlement… Read More
Biggest Medicare Fraud Scheme in History
By Jay Weaver, The Miami Herald One of the state’s wealthiest healthcare operators was arrested Friday at his Miami Beach waterfront estate on charges of orchestrating the nation’s biggest Medicare fraud scheme — $1 billion…. Read More
Justice Department Joins Medicare Advantage $1B Fraud Lawsuit Against UnitedHealth
By Shelby Livingston, Modern Healthcare. The U.S. Justice Department has joined a whistle-blower lawsuit claiming that UnitedHealth Group and affiliated health plans have been gaming the Medicare program and fraudulently collecting millions of dollars by claiming… Read More
Seniors Dropping Medicare Advantage Plans
By FRED SCHULTE from Kaiser Health News. As Seniors Get Sicker, They’re More Likely To Drop Medicare Advantage Plans. A GAO report questions the quality of a number of Medicare Advantage plans after large numbers of… Read More