Medicaid

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

    … in Texas received only one or two stars out of five in the federal Centers for Medicare and Medicaid Services rating system. In addition, the state’s Department of Aging and Disability Services identified over 17,000 violations during the fiscal year 2015. Astonishingly, only 40 cases were subjected to any type of enforcement action. Violations…

    Jeff Rasansky/ Rasansky Law Firm- 18 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- 19 readers -
  • Texas Lawmakers Make Second Attempt to Legislate Bad Nursing Homes

    … that focus on highlighting over-regulation in the industry. THCA believes the real problem is one of a system that is strapped for cash and provides $20 less per day to care for residents on Medicaid than the actual cost of that care. They say this puts excess pressure on already-underpaid workers. In spite of these claims by the association, the AARP…

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

    … No one wants to that their whistleblower case was declined. Yet it happens with most cases. On average, the Justice Department only intervenes in 20% of the False Claims Act cases filed. That means your odds in winning through government intervention are 1:5. (The odds of winning the Powerball jackpot are 1:292,200,000!) Most folks that file…

    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- 14 readers -
  • Tenet Exec INDICTED (Tenet Healthcare Whistleblower Post)

    … Department says that Tenet Healthcare had been ignoring a Corporate Integrity Agreement since 2006. Indictment Against Holland Holland has been charged with single counts of mail and healthcare fraud and two counts of Major Fraud Against the United States. In addition to the criminal charges, the government wants to seize and forfeit Holland’s property. He…

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

    … about wrongdoing can earn a substantial cash award. To qualify for a pharma whistleblower award, one should be the original source of information relating to misuse of federal or state funds and programs. A large percentage of prescriptions drugs are paid through Medicaid, Medicare, the VA or Tricare. That means tax dollars. There are several…

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

    … and the Massachusetts Medicaid Fraud Division, their efforts have barely made a dent in the state’s burgeoning fraud epidemic. Without whistleblowers, the state doesn’t have a chance. To better understand why we say whistleblowers are so necessary, let’s look at some facts. Medicaid is the health insurer of last resort. In Massachusetts, Medicaid is called…

    Due Diligence- 28 readers -
  • Pharmaceutical Whistleblowers – The WAR on Big Pharma Begins

    … Pharmaceutical Whistleblowers – The WAR on Big Pharma Begins January 17, 2017 by Brian Mahany Donald Trump and Bernie Sanders Agree that Big Pharma Must Rein in Prescription Drug Costs Donald Trump and Bernie Sanders are about as polar opposites as two politicians can be. Sanders is a “tax the rich” liberal Democrat. Trump is the rich guy…

    Due Diligence- 33 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- 26 readers -
  • MahanyLaw Files Class Action Lawsuit Against Molina Healthcare

    … the neediest and poorest populations. The law gave a two year pay bump for these public service minded doctors. Instead of paying them at the very low Medicaid rates (called Medi-Cal in California), the law allows doctors to be paid at the higher Medicare rates. Congress did this to insure doctors would continue to serve low income patients. Hispanic Lives…

    Due Diligence- 28 readers -
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