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Medicare News
$24.4 million in Maine Medicare fraud recovered, mostly from Martin's Point Health Care: DOJ
U.S. Attorney for the District of Maine Darcie McElwee announced Wednesday that her office collected a total of $24.4 million in civil and criminal actions in fiscal year 2023.
Almost all of the $23 million collected by the Maine U.S.…
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Coalition Support Bill to Improve Medicare Administration with Workers' Compensation
A coalition representing a group of stakeholders expressed support for the introduction this week of the "Medicare Payment Coordination and Workers' Compensation Act," or the "COMP Act."
The bipartisan legislation introduced by Reps. Mike…
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New AI technique significantly increases Medicare fraud detection
FAU's engineering study explores the "vast sea" of Big Medicare Data, Parts B and D
Medicare is sporadically compromised by fraudulent insurance claims. These illicit activities often go undetected, allowing full-time criminals and…
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Judge rejects PhRMA's lawsuit over Medicare's power to negotiate drug prices
A Texas judge dismissed a lawsuit seeking to challenge the government's drug price negotiation power on constitutional grounds over a procedural failure.
Although it's the first time it's happened, the decision marks the latest political…
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Supporting Medicare for All
In the article, “Nursing students meet with lawmakers,” (Recorder, Feb. 13), one of the students in the GCC School of Nursing class asked lawmakers what nurses can do to get support for single-payer health care, also known as Medicare. for…
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Humana sued over alleged Medicare Advantage 340B overpayments
Baptist Health, based in Montgomery, Ala., is suing large insurer Humana over alleged underpayments by Medicare Advantage for outpatient drugs purchased through the 340B program.
The hospital claims that the drug reimbursements were…
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Retiree Health Care Cost Projections Rise (Again)
The Employee Benefit Research Institute (EBRI) has released its latest projections on how much savings Medicare beneficiaries may need for health care expenses in retirement, and it's a bit of a hoot.
According to EBRI research, some…
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What is cataract surgery and is it covered by Medicare?
If your eye doctor tells you that you have cataracts in one or both eyes and recommends surgery to remove them, don't despair.
When you can't see as well as before, one reason may be that cataracts have developed in one or both eyes.…
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Medicare Advantage Open Enrollment is happening now
Medicare beneficiaries and their agents likely took a deep breath on December 7 when the annual Medicare enrollment period ended.
October 15th through December 7th is when all Medicare beneficiaries can enroll in, switch to, or leave…
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Two Florida doctors guilty of $31 million scheme to bill Medicare for unnecessary equipment
A pair of Miami-Dade doctors -- orthopedic surgeon Lawrence Alexander and chiropractor Dean Zusmer -- were found guilty Monday of participating in a ring of medical equipment companies that submitted more than $31 million in false invoices…
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