Medicare

In the United States, Medicare is a national social insurance program, administered by the U.S. federal government since 1966, that guarantees access to health insurance for Americans aged 65 and older who have worked and paid into the system, and younger people with disabilities as well as people with end stage renal disease (Medicare.gov, 2012) and persons with amyotrophic lateral sclerosis. As a social insurance program, Medicare spreads the financial risk associated with illness across society to protect everyone, and thus has a somewhat different social role from for-profit private insurers, which manage their risk portfolio by adjusting their pricing according to perceived risk.
Posts about Medicare
  • New Texas Law Targets Bad Nursing Homes

    … with your case, we’ll do so for no out-of-pocket cost to you. Speak With a Dallas Nursing Home Abuse Lawyer For Free The attorneys at Rasansky Law Firm are happy to speak to you about your potential case free of charge. If we can help with your claim, we’ll do so for no out-of-pocket cost to you. Call us 24/7 at (214) 651-6100, or toll-free at 1-877-405-4313. REQUEST A FREE CONSULTATION BY EMAIL The post New Texas Law Targets Bad Nursing Homes appeared first on Rasansky Law Firm. …

    Jeff Rasansky/ Rasansky Law Firm- 17 readers -
  • False Claims Act 101 – Intervened Cases vs Declined Cases

    …. Civil War. Back then, the government was broke. All resources were diverted to support the Union Army and the war against the break-away Confederate states. The Justice Department simply didn’t have the money or personnel to pursue fraud claims. Back then, dishonest vendors were selling the Union Army bad wagons, lame mules and gunpowder…

    Due Diligence- 11 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

    … Victor Lipkin will spend the next five years in prison. After pleading guilty to Medicare fraud last August, Lipkin was sentenced earlier this month by U.S. District Court Judge Ronnie Adams to 60 months in prison. His lawyers sought a 3 year sentence. Lipkin’s story echoes many others we have seen lately. Profits over patients. While we have…

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

    … by simply paying a fine. We have long advocated that the best way to stop fraud is to convict the senior executives behind the fraud. Did Wells Fargo and the other big banks learn after their $8 billion settlement in 2013? Probably not, Wells paid an additional $1.2 billion in penalties last year and Bank of America was soaked for $16.67 billion in 2014…

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

    … outlined a 6 point strategy to lower prescription drug prices. He also correctly noted that the United States has the highest drug prices in the world. The cost to fill a prescription is so high that nearly 1 in 5 adults didn’t get their prescriptions filled last year. And President Trump? Just before his inauguration he claimed the industry…

    Due Diligence- 24 readers -
  • Kaiser Health News

    … was filed on Dec. 30 in Los Angeles County Superior Court on behalf of Dr. Manuel Figueroa of the Associated Hispanic Physicians of Southern California, a doctors group with which Molina Healthcare contracts. [View the note “Molina Complaint” in its original document context] Figueroa’s high-profile lawyer, Brian Mahany, said he is searching…

    Due Diligence- 25 readers -
  • Florida Eye Clinic Accused of Medicare Fraud

    … Two former billing supervisors have accused the Florida Eye Clinic of a massive Medicare fraud scheme. William Lovell and Rochelle Mendez say the clinic billed Medicare for services never rendered. They say the clinic also overcharged for other services. According to the lawsuit, Florida Eye Clinic is owned by eight physicians. It employs 12…

    Due Diligence- 20 readers -
  • Does Universal Health Services Kidnap Patients?

    …, and chemical restraints, bad patient care, medication theft, you name it. The entire industry has very little oversight…” We are shocked by the allegations but have heard similar stories before. Private psychiatric hospitals make their money by filling up beds. As long as Uncle Sam or a private insurance plan is paying for a patient’s stay…

    Due Diligence- 12 readers -
  • Radiology Centers & Illegal Practices – Whistleblower Award Post

    … False Claims Act was passed in 1863 during the Civil War. Still on the books today, the law allows whistleblowers to earn cash awards for their information. To qualify, you must have inside information about fraud involving a federal program or funds. Awards are based on the amount recovered by the government. Only the first person to report usually…

    Due Diligence- 12 readers -
  • Fla Hospital Pays $12mm in False Claims Act Whistleblower Case

    … The South Miami Hospital has agreed to pay approximately $12 million to settle charges that it violated the federal False Claims Act. Prosecutors say the nonprofit hospital submitted claims to Medicare for medically unnecessary pacemaker surgeries and cardiac electrophysiology studies. The fraud was tied to a single physician, Dr. John Dylewski…

    Due Diligence- 21 readers -
  • Big Whistleblower Retaliation Win – Mantech International

    ….”) After a 5 day trial in Virginia last month, a jury ruled in favor of Cody and against Mantech. The jury awarded Kevin $500,000 in compensatory damages. The court will now enter judgment for the jury award plus two times back pay ($428,923) and will hold a further hearing to determine the amount of “front pay” or future lost pay damages. That’s…

    Due Diligence- 11 readers -
  • Federal Appeals Court Win for Whistleblowers

    …. (In the latter example, most residential mortgages are backed by the FHA, VA, Fannie Mae or Freddie Mac meaning tax dollars.) To encourage whistleblowers to file suits and help stop greed and fraud, the law allows whistleblowers to receive a cash award of up to 30% of what the government collects. Million dollar awards are common. In addition…

    Due Diligence- 11 readers -
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