Medicare Advantage company may face record penalty over alleged billing errors.
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.
Those walking away free were facing years in prison for crimes of “unbounded greed.”
Maine investigators find one patient’s saga with O’NA HealthCare offers a cautionary tale for anyone looking for cut-rate coverage online.
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.
The U.S. government spent $36 billion computerizing health records, yet they’re of limited help in the COVID-19 crisis.
“Unscrupulous providers” could take advantage of the boom in treatment delivered via voice or video calls.
Government officials want to focus on fighting COVID-19 instead of recouping overcharges that run into the millions.
Congress retreats on long-planned cost cuts to benefit the health care industry with a grab bag full of incentives.
Varios estados informan solo resultados positivos de la prueba para COVID-19 de laboratorios privados, una práctica que pinta una imagen engañosa del ritmo de propagación de la enfermedad.
Maryland, Ohio and others are reporting only positive tests, which skews tracking and an understanding of how the virus spreads.
A Kaiser Health News analysis shows that counties with ICUs average one ICU bed for every 1,300 older residents, those most at risk for needing hospitalization.
Patients would have far more control over their health care with complete medical histories stored on their phones, proponents say.
The federal government funneled billions in subsidies to software vendors and some overstated or deceived the government about what their products could do, according to whistleblowers.
Special interests and congressional inaction blocked efforts to track the safety of electronic medical records, leaving patients at risk.
A lawsuit against Group Health surfaces as the White House promotes Medicare Advantage for seniors.
The Freedom of Information Act lawsuit could spur the Centers for Medicare & Medicaid Services to release audits that document up to $650 million in overcharges.
Tennessee company’s Medicare billings for urine tests were examined by Kaiser Health News in 2017.
Amid an overall crackdown on private insurers’ Medicare billing practices, a new government audit and a whistleblower suit allege St. Louis-based Essence Group Holdings Corp.’s Medicare Advantage plans overcharged taxpayers.
An enhanced government effort to catch insurers that overcharge Medicare faces resistance from the insurance industry.