February 9, 2017
Judge Blocks Anthem/Cigna Merger
February 8, 2017
Daily Quality Fraud Roundup: Two doctors, $31.4 Million Florida Dermatology Fraud Alabama Pill Mill Fraud
February 7, 2017
Healthcare Hospital Manager agrees to pay $60 million dollars for up-charging procedures billed to Medicare and Medicaid. IPC Healthcare Fraud
January 24, 2017
Judge Finds Aetna Deceived On Obamacare
January 16, 2017
No replacement in sight. Congress Set To Repeal Affordable Care Act
December 29, 2016
Medicare ‘value based pricing’ of health care is a perfect companion to a patient-centric model of safety to combat rising costs caused by error and quality fraud. http://www.nejm.org/doi/full/10.1056/NEJMp1616278?query=TOC
Quality Fraud Drives Medical Costs
Daraprim was first made available in 1952. It treats toxoplasmosis and cystoisosporiasis, diseases caused by eating undercooked food and other digestive problems – often with no detectable symptoms. Turing Pharma, operated by Martin Shkreli, bought this old drug in August of 2015, immediately jacking up the price of Daraprim from about $13 a pill to […]
Quality Fraud Drives Medical and Insurance Costs Up
In 1999, HHS announced 371 criminal indictments for health care billing fraud, up 61% from the previous year[1]. DOJ convicted 396 Defendants for health care fraud, filed 2,278 civil matters relating to health care fraud and excluded 2,976 providers from billing Federal programs like Medicare and Medicaid as a result of fraud[2]. These cases included […]
Some Child Left Behind
Five-year-old Abby Muszynski was born with a brain malformation that causes seizures and respiratory failure. http://www.cnn.com/2016/11/28/health/health-care-refugees-part-1/ Abby’s family is leaving Florida to get her proper health care. The Muszynskis’ older high school aged children will be left behind. Why are they doing this? Because Florida’s Medicaid program will not pay for Abby’s treatment. This dates […]
Medicare’s Repeal and Other Consumer Penalties
Instead of learning the obvious lessons from the HMO/PPO example (http://thethompsonlawfirm.net/access-to-healthcare/), industry leaders and their lobbyists in the nineties prevailed on the Florida legislature for a different solution – one that took more skin out of the hide of consumers. Industry leaders used an organized public relations campaign to pass “tort reform” and laws limiting […]