Medicare & Medicaid Issues. Legal news and articles for September 28 - 30, 2011

Sen. Claire McCaskillA Missouri valueFeds: Proposed Indiana Medicaid expansion prematureHealth law adversaries share some common groundPfizer spends $3.6 million lobbying in 2QMontana governor calls for universal health careDemocrats hit reset on health careHospitals push hike in age for MedicareJury: Medical equipment company owner defrauded Medicare, MedicaidSome Common Ground for Legal Adversaries on Health CarePfizer spends $3.6 million lobbying in 2QInvestors Sue GentivaWhat Boomers Need to Know About Medicare Open Enrollment SeasonRadiologist assistant bill heads to CongressNursing-home director faces kickback charge

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18 charged in alleged Metro Detroit Medicare fraud schemes for $28M
The Detroit NewsSeptember 1, 2011

Today's arrests coincided with law enforcement agents executing search warrants at 11 locations and seizing 28 bank accounts tied to the alleged fraud schemes. "Health care providers should be aware that the days of stealing from Medicare with impunity ...more »

Hills man one of 18 charged in $28 million Medicare fraud
Hometownlife.comSeptember 5, 2011

Srinivas Reddy, 35, also known as “Dr. Reddy,” was allegedly involved in a series of schemes to bill Medicare “for services that were medically unnecessary and/or never provided,” according to a press release the US Attorney's Office issued Wednesday. ...more »

Medicare & Medicaid Issues. News and Stories

Sen. Claire McCaskill
Huffington PostSeptember 30, 2011

That's why I opposed the effort to make Medicare a voucher program. And it's why I'm helping lead an effort in the US Senate to pass legislation to ensure the wealthiest Americans pay their fair share into the Social Security trust fund. As current law...more »

A Missouri value
Huffington Post (blog)September 30, 2011

That's why I opposed the effort to make Medicare a voucher program. And it's why I'm helping lead an effort in the US Senate to pass legislation to ensure the wealthiest Americans pay their fair share into the Social Security trust fund. As current law...more »

Feds: Proposed Indiana Medicaid expansion premature
Indianapolis Business JournalSeptember 30, 2011

... become newly eligible for Medicaid under the new federal health care law beginning in 2014. The Centers for Medicare and Medicaid Services sent a letter Friday to the state's Medicaid office denying its request to expand the Healthy Indiana Plan. ...more »

Health law adversaries share some common ground
Bend BulletinSeptember 30, 2011

“Both sides agree that Congress has the constitutional power to enact a national health care system that raised taxes to support a single government agency that pays all medical bills, just like Medicare,” said Walter Dellinger, who served as acting ...more »

Pfizer spends $3.6 million lobbying in 2Q
BusinessWeekSeptember 30, 2011

Pfizer, the world's biggest drugmaker by revenue, lobbied on bills to overhaul patent laws and to prohibit marketing of generic drugs authorized by the maker of the brand-name version, according to the report it filed July 19 with the House clerk's ...more »

Montana governor calls for universal health care
BusinessWeekSeptember 30, 2011

Brian Schweitzer said Wednesday he will ask the US government to let Montana set up its own universal health care program, taking his rhetorical fight over health care to another level. Like Republicans who object to the federal health care law, ...more »

Democrats hit reset on health care
Statesman JournalSeptember 30, 2011

"Democrats are not going to move a lot of people by focusing on the (health care law) but the Medicare issue could swing a group that has been voting Republican," Blendon said. In 2010, Democrats paid the price for using $500 billion in Medicare cuts ...more »

Hospitals push hike in age for Medicare
Boston GlobeSeptember 30, 2011

If the health care law is repealed and the eligibility age raised, hundreds of thousands of seniors could end up uninsured, said Paul Van de Water, a fellow at the Center on Budget and Policy Priorities, a nonpartisan organization in Washington, DC, ...more »

Jury: Medical equipment company owner defrauded Medicare, Medicaid
MonitorSeptember 30, 2011

Prosecutors said De Leon billed or directed his staff to bill Medicare and Medicaid for diabetic supplies and other items that were not delivered. Those other items allegedly included power wheelchairs; patients instead were provided with ...more »

Some Common Ground for Legal Adversaries on Health Care
New York TimesSeptember 30, 2011

... system that raised taxes to support a single government agency that pays all medical bills, just like Medicare,” said Walter Dellinger, who served as acting solicitor general in the administration of President Bill Clinton and supports the law. ...more »

Pfizer spends $3.6 million lobbying in 2Q
ForbesSeptember 29, 2011

It lobbied on several issues related to implementation of the 2009 health care overhaul, including negotiation of prices for drugs purchased through Medicare and a bill that would eliminate the independent payment advisory board, which is designed to ...more »

Investors Sue Gentiva
Zacks.comSeptember 29, 2011

The complaints further claim that management overstated the in-home therapy visits to patients with the intention of generating higher Medicare reimbursement rates for Gentiva and failed to disclose the same to the investors. Thus, they not only misled ...more »

What Boomers Need to Know About Medicare Open Enrollment Season
Fox BusinessSeptember 29, 2011

Some of the additional benefits the law enacted to Medicare will further enhanced this year. For example, in the coverage gap (also known as the doughnut hole), you are still going to have a 50% discount for brand name drugs and the discount on generic ...more »

Radiologist assistant bill heads to Congress
DOTmed.comSeptember 28, 2011

A bill introduced to Congress last week that would let facilities and radiology groups bill Medicare for imaging services done by certified radiologist assistants or radiology practitioner assistants. ...more »

Nursing-home director faces kickback charge
Lincolnshire ReviewSeptember 28, 2011

Patrick Fitzgerald announced the Chicago charges together with Robert D. Grant, special agent-in-charge of the Chicago office of the Federal Bureau of Investigation; Lamont Pugh III, special agent-in-charge of the Chicago Regional Office of the HHS-OIG ...more »

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