Medicare News

Pass Measures to Lower Prescription Drug Prices, Biden Urges Congress

President Joe Biden on Thursday called on U.S. lawmakers to enact legislation aimed at lowering drug prices, including allowing Medicare to negotiate drug prices and imposing penalties on drugmakers that hike prices faster than inflation. The Democratic president’s remarks laid …

Suit Filed Against 11 N.Y. Skilled Nursing Facilities for Fraud, Unnecessary Services

A civil healthcare fraud lawsuit against 11 New York-based skilled nursing facilities alleges that they fraudulently inflated Medicare reimbursements by prolonging patient stays without regard to patients’ medical needs. The suit also alleges these facilities billed for excessive rehabilitation therapy …

Phone Scammers Using Wyoming Information Breach as Advantage

Telephone scammers are trying to take advantage of an accidental Wyoming Department of Health data release affecting over a quarter of the state’s population, department officials said. Scammers request insurance, Medicare, Medicaid or other financial information and in some cases …

How Seniors Feel About Telemedicine

Every morning, 92-year-old Sidney Kramer wraps a blood pressure cuff around his arm and steps on a scale, and readings of his heart health beam to a team of nurses — and to his daughter’s smartphone — miles from his …

New Jersey Doctor Sentenced for Cheating Medicare, Insurers Out of $3M

A New Jersey doctor who defrauded Medicare and private insurers out of $3 million has been sentenced to three years in prison. Anthony Enrico, a podiatrist with offices in Paterson, Passaic, and Elizabeth, had pleaded guilty last October to health …

$11.4M Settlement from California Oxygen Equipment Supplier

A company in California’s Bay Area that sells home oxygen equipment has agreed to pay more than $11 million to settle allegations that it profited from filing false reimbursement claims with the government. The San Francisco Chronicle reported the Justice …

Surprising Facts About Social Security and Medicare

While the era of “alternative facts” dawned in Washington last week, experts from across the ideological spectrum gathered in the capital for a review of real facts about our two most important retirement programs: Social Security and Medicare. The annual …

Doctor Charged in Rhode Island with Pushing Painkiller, Receiving Kickbacks

A doctor has been indicted on charges accusing him of getting kickbacks on prescriptions of a highly addictive painkiller written for patients who didn’t need the drug. Jerrold Rosenberg, a pain specialist and clinical assistant professor at Brown University, pleaded …

California Workers’ Comp Division Files Medical Fee Schedule Amendment

California’s Division of Workers’ Compensation has adopted and filed an amendment to the official medical fee schedule hospital outpatient departments and ambulatory surgical centers section with the Secretary of State. The amended regulation institutes a payment model in which the …

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 …