Fred Schulte
Fred Schulte
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COVID Bailout Cash Goes To Big Players That Have Paid Millions To Settle Allegations Of Wrongdoing

COVID Bailout Cash Goes To Big Players That Have Paid Millions To Settle Allegations Of Wrongdoing

This story also ran on .The Trump administration has sent hundreds of millions of dollars in pandemic-related bailouts to health care providers with checkered histories, including a Florida-based cancer center that agreed to pay a $100 million criminal penalty as part of a federal antitrust investigation.At least half of the top 10 recipients, part of a group that received $20 billion in emergency funding from the Department of Health and Human Services, have paid millions in recent years either in criminal penalties or to settle allegations related to improper billing and other practices,...

May 9, 2020
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Humana Inc. Overcharged Medicare Nearly $200 Million, Federal Audit Finds

Humana Inc. Overcharged Medicare Nearly $200 Million, Federal Audit Finds

Humana Inc. Overcharged Medicare Nearly $200 Million, Federal Audit Finds : Shots - Health News If the report by the U.S. Department of Health and Human Services' Office of Inspector General is sustained, Humana Inc. could face a record penalty for overcharges in a Medicare Advantage plan.Fred SchulteFromA Humana Inc. health plan for seniors in Florida improperly collected nearly $200 million in 2015 by overstating how sick some patients were, according to a new federal audit, which seeks to claw back the money. The Health and Human Services recommendation to repay, if finalized, would be...

April 20, 2021
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Humana Health Plan Overcharged Medicare by Nearly $200 Million, Federal Audit Finds

Humana Health Plan Overcharged Medicare by Nearly $200 Million, Federal Audit Finds

A Humana Inc. health plan for seniors in Florida improperly collected nearly $200 million in 2015 by overstating how sick some patients were, according to a new federal audit, which seeks to claw back the money.This story also ran on . It can beThe Health and Human Services recommendation to repay, if finalized, would be “by far the largest” audit penalty ever imposed on a Medicare Advantage company, said Christopher Bresette, an HHS assistant regional inspector general.“This [money] needs to come back to the federal government,” he said in an interview.Humana sharply disputed the findings...

April 20, 2021
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Huge Gaps in Vaccine Data Make It Next to Impossible to Know Who Got the Shots

Huge Gaps in Vaccine Data Make It Next to Impossible to Know Who Got the Shots

This story also ran on . It can beAs they rush to vaccinate millions of Americans, health officials are struggling to collect critically important information — such as race, ethnicity and occupation — of every person they jab.The data being collected is so scattered that there’s little insight into which health care workers, or first responders, have been among the people getting the initial vaccines, as intended — or how many doses instead have gone to people who should be much further down the list.The gaps — which experts say reflect — could mean that well-connected people and health...

January 28, 2021
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Trump’s Pardons Included Health Care Execs Behind Massive Frauds

Trump’s Pardons Included Health Care Execs Behind Massive Frauds

It can beAt the last minute, President Donald Trump granted pardons to several individuals convicted in huge Medicare swindles that prosecutors alleged often harmed or endangered elderly and infirm patients while fleecing taxpayers.“These aren’t just technical financial crimes. These were major, major crimes,” said Louis Saccoccio, chief executive officer of the National Health Care Anti-Fraud Association, an advocacy group.The list of some 200 Trump pardons or commutations, most issued as he vacated the White House this week, included at least seven doctors or health care entrepreneurs who...

January 22, 2021
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New Federal Rules Will Let Patients Put Medical Records On Smartphones

New Federal Rules Will Let Patients Put Medical Records On Smartphones

This story also ran on .Federal officials on Monday released groundbreaking rules that will let patients download their electronic health records and other health care data onto their smartphones.“Patients should have control of their records, period. Now that’s becoming a reality,” said Health and Human Services Secretary Alex Azar. “These rules are the start of a new chapter in how patients experience American health care.”Officials said the rules likely will give patients a greater say in health care decisions and put an end to a long-standing practice in which some doctors and hospitals...

March 10, 2020
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Millions Of Older Americans Live In Counties With No ICU Beds As Pandemic Intensifies

Millions Of Older Americans Live In Counties With No ICU Beds As Pandemic Intensifies

March 20, 2020This story also ran on .More than half the counties in America have no intensive care beds, posing a particular danger for more than 7 million people who are age 60 and up ― older patients who face the highest risk of serious illness or death from the rapid spread of COVID-19, a Kaiser Health News data analysis shows.Intensive care units have sophisticated equipment, such as bedside machines to monitor a patient’s heart rate and ventilators to help them breathe. Even in communities with ICU beds, the numbers vary wildly ― with some having just one bed available for thousands...

March 20, 2020
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Pandemic Delays Federal Probe Into Medicare Advantage Health Plans

Pandemic Delays Federal Probe Into Medicare Advantage Health Plans

This story also ran on .Federal health officials, citing a need to focus on the COVID-19 pandemic, have temporarily halted some efforts to recover hundreds of millions of dollars in overpayments made to Medicare Advantage health plans.The Centers for Medicare & Medicaid Services says the decision will allow insurers and the agency to “focus on patient care,” and will last “until after the public health emergency has ended.”Critics aren’t convinced that’s a wise idea.“Some loosening of regulations during a crisis is necessary. But is this an abdication of oversight?” asked David...

April 8, 2020
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Coronavirus Fuels Explosive Growth In Telehealth ― And Concern About Fraud

Coronavirus Fuels Explosive Growth In Telehealth ― And Concern About Fraud

This story also ran on .On March 17, Medicare chief Seema Verma stepped to the podium at a White House coronavirus and unveiled a “historic action” to promote virtual medical care, or telehealth.Verma temporarily lifted a variety of federal restrictions on the use of the service, which had been limited to rural areas. She praised telehealth, saying it could handle routine care for an older patient with diabetes without risking a visit to a medical office. She said a Medicare recipient with mild flu-like symptoms could receive advice from a doctor at home “instead of leaving the house and...

April 22, 2020
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As Coronavirus Strikes, Crucial Data In Electronic Health Records Hard To Harvest

As Coronavirus Strikes, Crucial Data In Electronic Health Records Hard To Harvest

This story also ran on .When President Donald Trump started touting hydroxychloroquine as “one of the biggest game changers” for treating COVID-19, researchers hoped electronic health records could quickly tell them if he was on the right track.Yet pooling data from the digital records systems in thousands of hospitals has proved a technical nightmare thus far. That’s largely because software built by rival technology firms often cannot retrieve and share information to help doctors judge which coronavirus treatments are helping patients recover.“I’m stunned at EHR vendors’ inability to...

April 30, 2020
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