Health coverage has been in the news in a big way this year, thanks to Republican-led efforts in Congress to repeal the Affordable Care Act (ACA) throughout the spring and summer. That plan ultimately failed, but both sides of the political aisle do agree on one thing: There’s a lot of room to go on improving health care access and containing medical costs. A new rallying cry has risen up among Democrats: Time for single-payer! But what does that actually mean — and what could it look like? [More]
medicare
More Than 1-In-4 Nursing Home Abuse Cases May Go Unreported To Police
By 8.28.17
Just as the Trump administration is attempting to prevent nursing home residents or their families from ever being able to sue longterm care facilities for neglect or fraud, a federal audit claims that an alarming percentage of physical and sexual abuse cases at nursing homes may be going unreported to law enforcement. [More]
Whistleblowers Will Receive $3.6M For Reporting Healthcare Company’s False Medicare Claims
By 7.18.17
Less than a week after federal authorities conducted a massive crackdown on medical fraud, arresting more than 400 individuals, the Department of Justice announced that three Ohio-based healthcare companies and their executives would pay $19.5 million to resolve allegations they falsified Medicare claims for unnecessary services that allegedly harmed patients. [More]
Trump Administration Will Allow Nursing Homes To Strip Residents Of Legal Rights
June 7, 2017
The Trump administration has proposed revising a rule that hasn’t even gone into effect yet, with the goal of making sure that nursing home residents and their loved ones can not sue these long-term care facilities in the event that something horrible happens. [More]
House ‘Freedom Caucus’ Asks Trump To Undo 232 Rules On Net Neutrality, Tobacco, Nursing Homes & Ceiling Fans
By 12.15.16
What’s on your wish list this holiday season? For the few dozen members of the House of Representatives Freedom Caucus, the hope to see President-elect Donald Trump undo or revise more than 200 federal rules involving everything from tobacco to food labels to ceiling fans to your constitutional right to bring a lawsuit against your credit card company. [More]
Court: Nursing Homes Can Continue Stripping New Residents Of Their Right To Day In Court
By 11.7.16
In September, the federal Centers for Medicare & Medicaid Services (CMS) issued a new rule that would prevent most nursing homes and other long-term care facilities from using forced arbitration to strip new residents of their right to file lawsuits against these companies. The industry soon fired back by doing the very thing it doesn’t want its customers to do: filing a lawsuit. This morning, the judge in the case granted the industry’s request for a preliminary injunction preventing the new rule from being enforced. [More]
Nursing Home Industry Files Lawsuit To Keep Preventing Patients From Filing Lawsuits
By 10.18.16
Last month, the federal government issued new rules for nursing homes, barring most long-term care facilities from using forced arbitration agreements to stop new residents from filing lawsuits against the homes. Now nursing home operators and industry trade groups are challenging that rule by doing the one thing they want to prevent their patients from doing: going to court. [More]
Junk Mail Never Stops, Not Even After You Die
By 10.18.16 — Updated: 10.19.16
Selling health insurance to dead people is not a very profitable business, since they don’t need it. Yet because of bad information in marketing databases, plenty of dead people receive marketing mail… including Medicare supplemental insurance solicitations when they’re about to turn 65. Why do dead people keep getting mail, and is it possible to stop it before it sets off fresh grief? [More]
New Rule Will Stop Many Nursing Homes From Stripping Residents Of Their Right To Sue
By 9.28.16
As we’ve written about previously, some nursing homes and other long-term care facilities use forced arbitration contracts to prevent their residents bringing a legal action against the home in a court of law. Today, the Department of Health and Human Services issued a new rule that will prohibit long-term care facilities that accept Medicare or Medicaid from forcing residents into arbitration. [More]
Woman Loses Hospice Care Because She’s Lived Longer Than Expected
By 8.12.16
When someone is receiving hospice care, it usually means they’re very close to the end of their life. But what happens if that person simply refuses to die? [More]
Feds Impose Sanctions On Blood-Testing Startup Theranos And Its Founder
By 7.8.16
Lab testing startup Theranos started from a revolutionary idea: performing blood tests quickly and inexpensively using only a drop of blood. The idea may have been more revolutionary if the technology actually worked yet, and if its lab in California had been operating up to current standards. Now the federal government has imposed sanctions on the company, which include being unable to bill Medicare or Medicaid for its services, and its founder and CEO can’t own or run a laboratory for the next two years. [More]
One Free Meal From A Pharma Sales Rep May Be Enough To Change Doctors’ Prescribing Habits
By 6.23.16
Your physician may have any number of degrees, honors, certifications, and other framed pieces of paper mounted to their office walls, but does any of that make them less susceptible to a glad-handing pharmaceutical sales rep who comes armed with some reading materials, free samples, and a lunch charged to their expense account? [More]
Drug Companies Subpoenaed Over Questionable Charity Connections
By 5.27.16
Whenever there is a report of a drug company jacking up the price of a prescription medication, the pharma industry is often quick to point out that there are non-profit charities ready and willing to help patients get these drugs at a more affordable rate. However, those charities may have very close ties to the drug maker that could not only help the company turn a profit, but avoid some tax obligations. In recent months, several large pharmaceutical companies have been subpoenaed as part of an ongoing federal investigation into these connections. [More]
Telemarketers Took Millions From Senior Citizens In Medicare Card Scam
By 7.27.15
There’s now one less unsavory, immoral, disrespectful group scamming senior citizens of their savings, as federal regulators took action against the operators of a scheme in which telemarketers pretended to be Medicare representatives in order to bilk millions of dollars from older consumers. [More]
Florida Nursing Home To Pay $17M After Allegedly Using Medicare Money For Doctors’ Kickbacks
By 6.17.15
When a nursing home receives Medicare funds, it’s supposed to use that money for patient care, and it’s actually a felony offense under the Medicare and Medicaid Patient Protection Act to use that money to pay kickbacks to physicians for referring patients. In a record settlement for this sort of case, a the operator of a network of Florida nursing homes will pay $17 million to close the books on allegations it ran this sort of kickback scheme for seven years. [More]
Anthem Hack Included Personal Information For 78.8 Million Customers & Employees
By 2.25.15
Nearly three weeks removed from the detection of a massive data breach, health insurer Anthem Inc. is releasing more details about the scope of the hack, including the fact that personal information for about 78.8 million was compromised. [More]
Hospital Chain Inflated Bills, Pressured Doctors Into Generating Admissions, Lawsuits Claim
By 1.24.14
There are many accusations of money-grubbing in the health care industry. Most of them are subtle: a preferred medication here, a handshake behind closed doors there. But actually hanging a chart on the wall and proudly color-coding your ER doctors like car salesmen based on how high their admission rates are? That’s about as in-your-face as the pursuit of profit gets. [More]
Health Dept. Report: Medicare Is Wasting Millions Of Dollars Paying Too Much For Penis Pumps
By 1.14.14
When you hear about government waste, perhaps you have some vague idea of money being spent on things it shouldn’t be, like a new ping pong set for the Capitol game room or free novelty shot glasses at the White House (both are fictional examples, I think). But it’s not that Medicare is spending money on the wrong thing in this case — it’s that it might be paying close to double what it should. For penis pumps. [More]
