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

    … to do is put pressure on the “bad” nursing homes. Unfortunately, there are far too many of them. A study by Better Care gave Texas an ‘F’ rating, and was the only state which received failing grades in 6 out of 8 statistical measurements. According to a 2015 report from The Kaiser Family Foundation, more than half of all long-term facilities…

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

    … closure of Hilcrest Residential was not an isolated incident. The Tampa Bay Times reports that the facility had previously been investigated and cited for its unsanitary conditions. The state also found that residents’ medications were not properly controlled. Shortly after being cited and shut down, Ilfrenise Charlemagne settled the state charges…

    Due Diligence- 19 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?

    … Background – Whistleblower Case Procedures To answer the question of why whistleblower cases are declined, some procedural history is needed. America’s primary whistleblower tool is the False Claims Act. Congress adopted the Act in 1863. Since then, 29 states have adopted similar False Claims Acts. (There were 30 states but Wisconsin repealed…

    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)

    … was released on a $3 million bond after his arraignment. The charges all stem from a Corporate Integrity Agreement signed by Tenet in 2006. That is the same year that Holland became Tenet’s SVP in charge of operations in the southern United States. The Agreement stemmed from an earlier case involving Tenet Healthcare and alleged violations…

    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

    … that the company wanted to “induce hospitals to utilize Protonix so that patients would be discharged on this drug thereby requiring these patients to seek outpatient acquisition of this drug at higher the market prices.” Like street level drug dealers that give samples of highly addictive drugs to get their customers hooked, Wyeth was allegedly…

    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

    … an uncertain future amid a planned repeal of the health law. In February, a group of Florida hospitals sued the insurer for allegedly underpaying for emergency room care. Molina Healthcare profits totaled $143 million in 2015, more than double the profits of 2014, according to its most recent financial report. The post Kaiser Health News appeared first on Mahany Law. …

    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 -
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