Did Your Health Plan Rip Off Medicare?
KHN has released never-before-seen details of federal audits as the government weighs action against dozens of Medicare Advantage plans.
How Medicare Advantage Plans Dodged Auditors and Overcharged Taxpayers by Millions
Facing rare scrutiny from federal auditors, some Medicare Advantage health plans failed to produce any records to justify their payments, government records show. The audits revealed millions of dollars in overcharges to Medicare over three years.
Audits — Hidden Until Now — Reveal Millions in Medicare Advantage Overcharges
Taxpayers had to foot the bills for care that should have cost far less, according to records released after KHN filed a lawsuit under the Freedom of Information Act. The government may seek to recover up to $650 million as a result.
Private equity firms have shelled out almost $1 trillion to acquire nearly 8,000 health care businesses, in deals almost always hidden from federal regulators. The result: higher prices, lawsuits, and complaints about care.
Lawsuit by KHN Prompts Government to Release Medicare Advantage Audits
The lawsuit was filed three years ago to learn about vast overcharges by the popular health plans that are detailed in audits the government refused to release to the public.
Government Watchdogs Attack Medicare Advantage for Denying Care and Overcharging
The Government Accountability Office and the Health and Human Services inspector general’s office say seniors enrolled in the program are suffering and taxpayers are getting bilked for billions of dollars a year.
With its latest venture into primary care clinics, is America’s leading organization for seniors selling its trusted seal of approval?
Federal Investigation Into Spine Surgeries Uses Mob Laws to Target Health Care Fraud
Investigators allege a Texas company that arranges spine surgery and other medical care for people injured in car crashes accepted bribes in violation of 1960s-era racketeering law.
The letters function as liens that “protect” spine surgery clinics while patients could be left with inflated medical bills and unexpected health risks.
Researcher: Medicare Advantage Plans Costing Billions More Than They Should
Some insurers pocketed ‘eye-popping’ overpayments, billing records show.
Justice Department Targets Data Mining in Medicare Advantage Fraud Case
The feds’ civil suit links exaggerated patient bills to “tens of millions” in overcharges.
Florida Spine Surgeon and Device Company Owner Charged in Kickback Scheme
Dr. Kingsley R. Chin and SpineFrontier were the subject of a recent KHN “Spinal Tap” investigation.
Surgeons Cash In on Stakes in Private Medical Device Companies
Doctors tied to professional sports teams share in investment bonanza.
Injuries Mount as Sales Reps for Device Makers Cozy Up to Surgeons, Even in Operating Rooms
Aggressive sales tactics have allegedly led surgeons to use defective or wrong-size implants, screws or other products on patients, including former Olympian Mary Lou Retton.
Device Makers Have Funneled Billions to Orthopedic Surgeons Who Use Their Products
Federal officials say that some of the money changing hands has corrupted doctors and endangered patients.
Humana Health Plan Overcharged Medicare by Nearly $200 Million, Federal Audit Finds
Medicare Advantage company may face record penalty over alleged billing errors.
Huge Gaps in Vaccine Data Make It Next to Impossible to Know Who Got the Shots
Details about race, ethnicity and occupation are often missing as data collected nationally is scattered across scores of digital systems that don’t connect. And the CDC doesn’t require vaccinators to report occupations of recipients, even though the order in which people get shots largely depends on their job.
Trump’s Pardons Included Health Care Execs Behind Massive Frauds
Those walking away free were facing years in prison for crimes of “unbounded greed.”
How A Company Misappropriated Native American Culture To Sell Health Insurance
Maine investigators find one patient’s saga with O’NA HealthCare offers a cautionary tale for anyone looking for cut-rate coverage online.
COVID Bailout Cash Goes To Big Players That Have Paid Millions To Settle Allegations Of Wrongdoing
At least half of the top 10 recipients, part of a group that received $20 billion in emergency HHS funding, have paid criminal penalties or settled charges related to improper billing and other practices.
