Medicaid in the United States is a social health care program for families and individuals with low income and resources. The Health Insurance Association of America describes Medicaid as a "government insurance program for persons of all ages whose income and resources are insufficient to pay for health care." (America's Health Insurance Plans (HIAA), pg. 232). Medicaid is the largest source of funding for medical and health-related services for people with low income in the United States.
Posts about Medicaid
  • New Texas Law Targets Bad Nursing Homes

    …Texas ranks dead last in terms of nursing home care, and lawmakers have finally lost their patience. On September 1st, 2017, a new law officially takes effect in Texas which targets nursing homes repeatedly cited for serious violations, and makes it much more-difficult for them to avoid regulatory fines. Texas is Cracking Down on Bad Nursing…

    Jeff Rasansky/ Rasansky Law Firm- 17 readers -
  • Medicaid Fraud Leads to Prison for Assisted Living Owner

    … A 68-year-old Coral Gables, Florida woman is headed to prison for 33 months after being convicted in a shocking Medicaid fraud scheme. U.S. District Court Judge Mary Scriven sentenced Ilfrenise Charlemagne to prison after her guilty plea to a federal wire fraud charge. The plea was part of an agreement in which Charlemagne avoided trial…

    Due Diligence- 18 readers -
  • Texas Lawmakers Make Second Attempt to Legislate Bad Nursing Homes

    …Several bills have been filed in 2017 which seek to improve nursing home care in Texas. Nursing home abuse is a serious problem, and one which Texas lawmakers have previously tried to legislate with little success. Now they’re making another attempt—two years after similar bills failed to pass. Lawmakers Look to Regulate Nursing Homes A new…

    Jeff Rasansky/ Rasansky Law Firm- 15 readers -
  • My Government Whistleblower Case Was Declined, Now What?

    … are some common examples: Poor quality underwriting of residential mortgages? There is probably a False Claims Act Violation since most home loans are insured by the government. Overcharge Medicaid for patient visits? Once again, there is a probably a violation since Medicaid is financed with state and federal tax dollars. When a whistleblower…

    Due Diligence- 13 readers -
  • Prime Pediatrics Dalton GA (New Medicaid Fraud Investigation)

    … The Medicare fraud lawyers at MahanyLaw are investigating a report that Ayman Rifai M.D and Prime Pediatrics are violating Medicaid laws by improperly billing patients. Our investigation is in early stages and no conclusions have been reached. Medicaid is the insurer of last resort in Georgia. That translates to 894,000 low and middle income…

    Due Diligence- 20 readers -
  • Doc Injects Patients with Poison in Shocking Medicare Fraud Plot

    … no compassion for medical providers that rip off Medicare and Medicaid, we have zero tolerance and understanding for those that harm patients. They are monsters. According to court records, Lipkin falls into the latter category. Lipkin’s Medicare Fraud According to Manhattan’s U.S. Attorney, “[Lipkin] was a primary participant in a massive…

    Due Diligence- 13 readers -
  • Tenet Exec INDICTED (Tenet Healthcare Whistleblower Post)

    … in prison, there is certainly an incentive for him to cooperate with prosecutors. (We imagine there are many nervous people today in Dallas, the headquarters of Tenet Healthcare.) An FBI spokesperson said, “Medicaid patients have the right to seek healthcare without fearing that care is tainted by bribes and illegal kickbacks. Not only did patients…

    Due Diligence- 18 readers -
  • Big Pharma Wants Your Hearts, Minds and Wallets (Pharma Whistleblower)

    … are one of the tens of thousands of people working in the industry or a healthcare provider, read on. You may be eligible for an award. False Claims Act and Pharma Whistleblower Awards The False Claims Act is a Civil War era anti-fraud law that is still on the books and more powerful than ever. Under the Act, whistleblowers with inside information…

    Due Diligence- 24 readers -
  • MassHealth Fraud Lawyer – 2016 In Review

    … Fraud Recoveries 2016 MassHealth Fraud Recoveries: $80 Million! Let’s break down the recoveries in 2016. The $80 million figure comes from 29 settlements. The biggest chunk of the MassHealth fraud recovery totals comes from a single case. Last May, pharmaceutical giant Pfizer paid $784 million to resolve charges that the company was overcharging…

    Due Diligence- 27 readers -
  • Pharmaceutical Whistleblowers – The WAR on Big Pharma Begins

    … of the marketplace. That gives big pharma a couple more years to gouge U.S. consumers. Off label use occurs when a drug company pushes doctors to prescribe a medication for a use not approved by the FDA. While doctors can do this, Medicare and Medicaid won’t pay for off label use. Kickbacks and manufacturing defects are self explanatory. Under the Act…

    Due Diligence- 32 readers -
  • Kaiser Health News

    … were to pay doctors higher rates for some types of care for patients enrolled in Medi-Cal, California’s Medicaid program. The enhanced payments program ended in 2014. Figueroa qualified for enhanced payments for services provided in 2013 and 2014, according to his attorney Mahany. The health plan paid Figueroa part of what was owed him but still…

    Due Diligence- 25 readers -
  • MahanyLaw Files Class Action Lawsuit Against Molina Healthcare

    …. The company operates in 14 other states including NY, Texas, Ohio, South Carolina, Florida, Illinois, Puerto Rico, Washington, Missouri and New Mexico. Mahany says the firm is actively investigating Molina’s business practices in those states and urge physicians who feel they were underpaid to contact him. Nurses, billing clerks and others with knowledge…

    Due Diligence- 28 readers -
  • Disabled Man’s Mother, Sister Indicted for Medicaid Fraud

    … Kimillia Carter, Sister of Local Celebrity Deonn Carter, Indicted for Medicaid Fraud (photo from Muscogee County Sheriff) Georgia has a very generous Medicaid program that allows eligible people with developmental disabilities to receive home care. Called the Comprehensive Supports Waiver Program (COMP), folks who are too ill to fully care…

    Due Diligence- 23 readers -
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