‘Dark Money’ Group Angles for Higher Medicare Advantage Payments
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Medicare Advantage ‘Dark Money’ Group Attempts To Win Higher Payments for Insurance Companies
Medicare Advantage insurers say a proposal by the Trump administration to keep their payments nearly flat next year may lead to service cuts that harm seniors struggling to afford health care. A decision is due by early next month.
A national plastic surgeons group is warning people to “do their homework” before having liposuctions, Brazilian butt lifts, or other cosmetic procedures after an investigation into cosmetic surgery chains by KFF Health News and NBC News.
Medicare Advantage Insurers Face New Curbs on Overcharges in Trump Plan That Reins in Payments
Proposed Trump administration changes to federal Medicare Advantage payments would stop health insurers from mining patient data for extra medical diagnoses that generate more bills to taxpayers even without treatment.
Kaiser Permanente To Pay $556 Million in Record Medicare Advantage Fraud Settlement
Kaiser Permanente agrees to pay $556 million to settle allegations of billing the government for conditions patients didn’t have.
Advertisements Promising Patients a ‘Dream Body’ With Minimal Risk Get Little Scrutiny
While federal officials say they are cracking down on misleading drug ads, cosmetic surgery remains a “buyer beware” market.
After Outpatient Cosmetic Surgery, They Wound Up in the Hospital or Alone at a Recovery House
Some patients who had liposuction or other surgeries later required emergency hospital care — and some died, court records show.
How To Pick the Right Cosmetic Surgeon
While surgeons argue over who gets the best results, patients may struggle to make sense of credentials.
Doctors With Troubled Pasts Are Performing Cosmetic Surgeries Tied to Crippling Pain and Injury
Some injured patients say they wish they had tried harder to check the backgrounds of doctors and clinics they trusted, but those records are hard to find.
Exactech Will Pay $8M To Settle Lawsuits Over Defective Knee Implant Parts
Whistleblower lawsuits alleged that Exactech covered up defects in knee implants while patient injuries mounted.
Cosmetic Surgery Chains Are on the Rise. So Are Allegations of Injury and Death.
Get our weekly newsletter, The Week in Brief, featuring a roundup of our original coverage, Fridays at 2 p.m. ET.
Cosmetic Surgeries Led to Disfiguring Injuries, Patients Allege
A joint investigation by KFF Health News and NBC News found that cosmetic surgery chains have been the target of scores of medical malpractice and negligence lawsuits, including 12 wrongful death cases.
UnitedHealth Wins Ruling Over $2B in Alleged Medicare Advantage Overpayments
A special master found the Justice Department failed to prove wrongdoing by the giant health insurer.
In Settling Fraud Case, New York Medicare Advantage Insurer, CEO Will Pay up to $100M
A whistleblower suit alleged a health insurer bilked Medicare by exaggerating how sick patients were.
Federal Watchdog Urges Crackdown on Medicare Advantage Home Visits
Medicare officials are pushing back against a federal watchdog’s call to crack down on home visits by Medicare Advantage health plans — a practice the watchdog says may waste billions of tax dollars every year. In late October, a Health and Human Services inspector general audit found that the insurers pocketed $7.5 billion in 2023 from diagnosing health conditions that […]
KFF Health News Sues To Force Disclosure of Medicare Advantage Audit Records
Freedom of Information Act case targets HHS inspector general’s reviews of billions of dollars in health plan overpayments.
Watchdog Calls for Tighter Scrutiny of Medicare Advantage Home Visits
Medicare officials defend the use of home visits that often spot medical conditions that are never treated.
Florida Medical Device Maker Exactech Declares Bankruptcy
The company faces more than 2,000 lawsuits alleging it sold defective knee and hip implants.
The Medicare Advantage Influence Machine
New court filings and lobbying reports reveal an industry drive to tamp down critics — and retain billions of dollars in overcharges.
Feds Killed Plan To Curb Medicare Advantage Overbilling After Industry Opposition
A private 2014 decision by the Centers for Medicare & Medicaid Services faces new scrutiny in a multibillion-dollar Justice Department fraud case against UnitedHealth Group.
