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T.J. Kirkpatrick/Getty ImagesOne doctor alone is accused of causing nearly $23 million in fraud losses, including "over 1,000 expensive power wheelchairs ... that were not medically necessary and often not provided." -
The federal government overpaid for nearly half of the patients of a Medicare Advantage plan, a Medicare audit found. At issue is whether insurers "upcode" diagnoses to reap bigger payments.
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Douglas White knew high-deductible insurance is supposed to make patients feel the pain of medical prices and turn them into smart shoppers. So he… -
A study suggests that coordinated care, led by a family doctor who is judicious about referring patients to specialists, leads to cost savings.
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Taking a cue from workplace wellness programs, Iowa and New Mexico are among more than a dozen states offering incentives to Medicaid beneficiaries to get…
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The outcomes of many medical procedures and treatments done in hospitals nationwide aren't tracked or even measured, says a surgeon who thinks that's bad. Understanding outcomes, he says, saves lives.
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HARTSVILLE, Tenn. — Lynda Douglas thought she had a deal with Tennessee. She would adopt and love a tiny, unwanted, profoundly disabled girl named Charla.…
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Federal authorities are investigating claims that some Medicare Advantage health plans have overcharged the government for years by claiming that patients are sicker than they are.
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The largest publicly run health plan in the nation, L.A. Care, will allow customers who do not have traditional bank accounts to pay their health…
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Depending on the size of the subsidy they got, some will get a bigger refund than expected and others will owe taxes.
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Some of the largest, most established walkathons and similar events that raise cash for charity aren't doing as well as they used to. There's more competition, fundraisers say, for money and time.
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The leaders and members must, in a word, compromise. And on this occasion, Speaker John Boehner and Minority Leader Nancy Pelosi did just that, with skill and savvy.
