Virginia psychotherapist to pay over $1.2M after billing Medicaid and Medicare for services never rendered
RICHMOND, VA – A 72-year-old licensed clinical social worker from Mechanicsville has been ordered to pay more than $1.2 million after pleading guilty to healthcare fraud and settling related civil claims involving…
Healthcare Providers Agree to Pay Back $1.9 Million in Medicare Fraud
WASHINGTON DC — Several doctors, medical practices, and a marketing company have agreed to pay a total of $1.9 million to settle allegations that they participated in illegal laboratory kickback schemes that…
California Man Convicted in $4 Million Medicare Fraud
California Man Convicted in $4 Million Medicare Fraud **DETROIT, MI** - A federal jury convicted a man from California for defrauding Medicare of over $4 million through fraudulent urine drug testing claims.…
Texas neurosurgeon to pay $2 million in false Medicare billing settlement
HOUSTON — Dr. Rajesh Bindal, a 53-year-old neurosurgeon from Sugar Land, has agreed to pay $2,095,946 to settle allegations that he submitted false claims to federal health care programs, the U.S. Attorney’s…
Doctor Convicted for $5.4M Medicare Fraud Scheme
According to court documents and evidence presented at trial, Adarsh Gupta, M.D., 51, of Sewell, signed thousands of prescriptions for orthotic braces for over 2,900 Medicare beneficiaries whom he was connected with…
South Carolina Man Sentenced in Massive Medicare Fraud Scheme
COLUMBIA, S.C. — Andrew Chmiel, a 48-year-old resident of Mt. Pleasant, received a nine-year federal prison sentence for his involvement in a scheme exceeding $100 million. This scheme involved the exchange of…
Tennessee Podiatrist Convicted in Medicare Fraud Scheme
MEMPHIS, TN – Nathan Lucas, D.P.M., a 59-year-old podiatrist from Memphis, has been convicted by a federal jury for orchestrating a fraudulent scheme that targeted Medicare and TennCare. Lucas, who owned Advanced…
Cigna to sell Medicare business to Health Care Service for $3.3 billion – WSJ
(Reuters) – Cigna has agreed to sell its Medicare business to Health Care Service Corp for $3.3 billion in cash, the Wall Street Journal reported on Wednesday. Health Care Service will buy…
HCSC, Elevance compete for Cigna Medicare Advantage unit – Bloomberg News
(Reuters) – Health Care Service Corp and Elevance Health are competing to acquire Cigna Group’s business providing medical coverage to those aged 65 and over, Bloomberg reported on Friday, citing people with…
Man Charged in $148M Medicare and Medicaid Fraud Scheme
A federal grand jury in Baton Rouge returned an indictment today charging a Louisiana man for his role in a scheme to defraud Medicare and Medicaid of over $148 million in medically…
Philadelphia Pharmacy Owner Pleads Guilty to Medicare Fraud
HARRISBURG, PA – Attorney General Michelle Henry announced that Philadelphia-based Aramingo Pharmacy, led by owner Ahmed Bachir, pleaded guilty to Medicaid fraud. The investigation revealed the pharmacy filed fraudulent claims totaling hundreds…
Chief Compliance Officer Sentenced for $50M Medicare Fraud Scheme
A Florida man was sentenced today to four years and six months in prison and ordered to pay $21.7 million in restitution for his role in a health care fraud and wire…
Cigna to Pay $172 Million in Medicare Advantage False Claims Settlement
HARTFORD, CT – Healthcare insurer Cigna has agreed to pay $172,294,350 to settle allegations that it submitted fraudulent diagnosis codes to inflate Medicare Advantage payments. The Connecticut-based company allegedly violated the False…
Column-US Medicare drug negotiations a good start on bringing down healthcare costs
By Mark Miller (Reuters) – An important Biden administration effort to control the soaring cost of prescription drugs made headlines this week – but drug costs are just one part of a…
Biden Admin Unveils List Of Drugs Subject To Medicare Price Negotiations
Biden Admin Unveils List Of Drugs Subject To Medicare Price Negotiations Will Kessler on August 29, 2023 The Biden administration on Tuesday revealed a list of ten drugs subject to price negotiations…
Medicare offers details on reimbursement for new Alzheimer’s drugs
By Julie Steenhuysen CHICAGO (Reuters) -The U.S. Medicare health plan on Thursday offered details of plans to collect patient data as a condition for reimbursement for Eisai Co Ltd and Biogen Inc’s…
US budget deficit mushrooms in May as revenue falls, Medicare outlays jump
(Reuters) – The U.S. budget deficit swelled in May from a year earlier as revenue tumbled and Medicare spending surged, the Treasury Department said on Monday in its first monthly accounting of…
Vulnerable House Dems Back Bernie Sanders’ Left-Wing ‘Medicare For All’ Proposal
Vulnerable House Dems Back Bernie Sanders’ Left-Wing ‘Medicare For All’ Proposal Arjun Singh on May 22, 2023 Several House Democrats who are running in competitive congressional elections in 2024 have signed onto…
Exclusive-Lilly expects US Medicare to reverse course, fully cover Alzheimer’s drugs
By Deena Beasley and Julie Steenhuysen (Reuters) – Eli Lilly and Co expects the U.S. Medicare health plan to back down from strict coverage limits on new Alzheimer’s drugs as more evidence…
July goal set for final US Medicare drug negotiation guidance
By Ahmed Aboulenein WASHINGTON (Reuters) – The U.S. government aims to publish the final guidance for its Medicare drug price negotiation program in early July and is currently talking to companies about…
Economists warn of costs if US Medicare covers new obesity drugs
By Nancy Lapid (Reuters) – The cost of expanding U.S. Medicare prescription drug coverage to pay for expensive, new obesity medications could be catastrophic, health economists warned in a report published on…
Biden proposes to raise taxes on high earners to avert Medicare funding crisis- WaPo
(Reuters) – The White House will propose raising taxes on people earning more than $400,000 and reduce what Medicare pays for prescription drugs in a bid to keep the program stable, the…
Republican U.S. Senator Rick Scott drops plan to cut Social Security, Medicare
By David Morgan WASHINGTON (Reuters) – U.S. Senator Rick Scott on Friday revised his plan to end all federal programs after five years to exclude the popular Social Security and Medicare programs,…
U.S. to select 10 costliest drugs for Medicare pricing negotiation
By Ahmed Aboulenein WASHINGTON (Reuters) – The U.S. government will select the 10 costliest prescription medicines to Medicare for negotiating prices with drugmakers starting early next year, the program’s top official said…
Biden Pledges To Prevent Medicare Cuts — But He’s Cutting Medicare Advantage Right Now
Biden Pledges To Prevent Medicare Cuts — But He’s Cutting Medicare Advantage Right Now Laurel Duggan on February 8, 2023 President Joe Biden pledged to stop anyone who tries to cut Medicare…
Trump warns U.S. House Republicans not to touch Social Security, Medicare
By David Morgan WASHINGTON (Reuters) – Former President Donald Trump warned his fellow Republicans on Friday not to “destroy” federal retirement and health benefits as they try to exact spending cuts from…
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