Medicaid News

Woman Convicted in $7M Pennsylvania Insurance Fraud Scheme Charged Anew

A woman who spent more than seven years in prison for a $7 million insurance fraud and the unrelated death of a patient at her now-defunct Pennsylvania nursing home is in trouble with the law again. This time, the Allegheny …

Massachusetts Woman, Son Get Probation for $100K Medicaid Scheme

A Worcester, Massachusetts, woman and her adult son have received probation for cheating the state Medicaid system out of nearly $100,000. The Telegram & Gazette reports that 68-year-old Beverly Cousin, a recipient of personal care attendant services through MassHealth, was …

New York AG Sues Health Insurer Over Hepatitis C Treatment

New York’s attorney general has filed a lawsuit against an Albany-area health insurer that he says broke the law by denying coverage for expensive hepatitis C treatments until patients showed advanced symptoms of the disease such as moderate to severe …

Maryland Doctor Gets 9 Years in $3M Health Care Fraud Scheme

A Potomac, Maryland, physician who owned and operated a pain management clinic has been sentenced to 9 years in prison for a $3 million health care fraud scheme. Sixty-year-old Paramjit Singh Ajrawat was also ordered to forfeit and pay restitution …

How Much Do U.S. Health Insurance Tax Breaks and Subsidies Cost?

U.S. taxpayers will fork over $660 billion this year to subsidize health insurance for people under 65, the vast majority of whom have coverage through their employers, the Congressional Budget Office said on Thursday. In its most comprehensive report on …

Obamacare Exchanges Enrolled Estimated 12 Million This Year

About 12 million people will be covered through Obamacare’s insurance marketplaces this year, the Congressional Budget Office said Thursday in a new estimate, a sign of the government’s continuing difficulties in getting people signed up for insurance under the 2010 …

Mass. Gov. Takes Issue With Report Pegging ACA Costs at $1B

Massachusetts Gov. Deval Patrick is sharply criticizing a report that puts a price tag of about $1 billion on the implementation of the federal Affordable Care Act in Massachusetts. The Pioneer Institute, a conservative-leaning think tank, said in a report …

Connecticut’s Access Health CT Enrolled 86,000 Since October

Access Health CT, Connecticut’s health insurance marketplace, says it has so far enrolled 86,000 people in private health care plans and Medicaid since open enrollment began in October. Chief Executive Kevin Counihan said Thursday the exchange is adding 500 to …

Louisiana Seeks to Block Docs from Steering Patients Into Insurance Plans

Doctors who steer Medicaid patients into specific health insurance plans could face heavy sanctions under an emergency rule the state started this month. Calder Lynch, chief of staff for the state’s health agency, said the policy is needed to “ensure …

137,800 in Mississippi Fall in Health Insurance ‘Coverage Gap’

A new study shows 137,800 low-income Mississippians fall into a health insurance “coverage gap.” They’re currently uninsured. They earn too much to enroll in Medicaid but too little to qualify for government subsidies that would reduce their cost of buying …