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More Than 100 Are Charged in Medicare Fraud Sweep
United States authorities have charged 107 people, including doctors and nurses, for trying to defraud the federal Medicare health care program for the elderly and disabled of about $452 million, the biggest Medicare fraud sweep to date, the Obama administration said Wednesday. At least 91 people were arrested in Miami; Houston; Baton Rouge, La.; and four other cities on a variety of charges, from submitting false billing for home health care, mental health services, H.I.V. infusions and physical therapy to money laundering and receiving kickbacks. Justice Department and Health and Human Services Department officials were unable to say how much Medicare actually paid out, but a review of 34 complaints and indictments found that the authorities were seeking to recover at least $59.5 million.
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Source: The New York Times
Navigating Health Policy in an Election Year: Insights From Dr Dennis Scanlon
April 2nd 2024On this episode of Managed Care Cast, we're talking with Dennis Scanlon, PhD, the editor in chief of The American Journal of Accountable Care®, about prior authorization, price transparency, the impact of health policy on the upcoming election, and more.
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Commonwealth Fund Report Details Pervasive Racial and Ethnic Disparities in US Health Care, Outcomes
April 18th 2024Using 25 health system performance indicators, the Commonwealth Fund 2024 State Health Disparities Report evaluated racial and ethnic disparities in health care and health outcomes both within and across US states and highlighted the urgent need for equitable health care policies and practices in the US.
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Exploring Medicare Advantage Prior Authorization Variations
March 26th 2024On this episode of Managed Care Cast, we're talking with the authors of a study published in the March 2024 issue of The American Journal of Managed Care® about their findings on variations in prior authorization use across Medicare Advantage plans.
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