Fred Schulte - KFF Health News
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Medicare Advantage health plans are privately run, but reimbursed by Medicare. A Texas lawsuit claims that, to inflate charges, 30 Advantage plans in 15 states exaggerated how sick patients were.
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The Patient-Centered Outcomes Research Institute is supposed to figure out which medical treatments work best. But there are sharp political and scientific disagreements over how to do that. -
Internal audits, never before made public, provide striking evidence of billing mistakes in Medicare Advantage health plans. The Center for Public Integrity filed suit to obtain the records.
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Bills to advance or cripple the federal health law in statehouses didn't come to a halt in the months that lawmakers awaited the Supreme Court decision. They may well smolder for months or years. -
Iowa Republican Sen. Chuck Grassley is asking the Obama administration pointed questions about what is being done to investigate alleged fraud, waste and abuse by Medicare Advantage plans. -
When the Centers for Medicare and Medicaid Services sent a memo to insurers saying government audit policies could be relaxed, investors privy to the news pounced, sending shares upward.
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Federal authorities are investigating claims that some Medicare Advantage health plans have overcharged the government for years by claiming that patients are sicker than they are.
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The Centers for Medicare and Medicaid Services has a backlog of some 3,000 FOIA requests and says it may need 10 years or more to dig out from under some large cases. -
An unpublished government study from 2009 sounded alarm bells about the risk formula used to pay privately run Medicare insurance plans. Since then billions of dollars in waste have been documented. -
Bills concerning health care exchanges are pending in at least 16 states. The measures are split pretty evenly between ones that seek to bolster the exchanges and those that would impede or bar them.
