Douglas County woman charged with billing Medicaid for a deceased patient, federal authorities claim
Federal Charges Filed Against Colorado Men for Medicaid Fraud Federal authorities announced several charges on Tuesday against two men from Colorado implicated in the theft of a program designed to offer free transportation to Medicaid patients. This marks the first criminal charges stemming from a significant fraud investigation that state officials discovered over two years […]
Medicaid transportation in New York facing fraud issues, with drivers defrauding as much as $196 million
New York Medicaid Transportation Program Fraud Allegations Allegations are surfacing that drivers in New York have extorted as much as $196 million from a mismanaged Medicaid transportation initiative. A recent federal audit conducted by the Department of Health and Human Services revealed that transportation firms in the Non-Emergency Medical Transportation (NEMT) program received significant payouts, […]
Conflicting advice creates confusion for parents regarding Medicaid services
Medicaid Cuts on Hold, But Confusion Reigns in Colorado Last week, the state’s Joint Budget Committee chose not to approve certain cuts to Medicaid for this fiscal year. DENVER — Colorado families who have children with disabilities are relieved, as some Medicaid cuts have been put on pause. However, the lack of clarity around what […]
Significant fraud in New York’s soaring Medicaid expenses, say politicians
Medicaid Fraud Concerns in New York Attention has shifted to New York in light of significant Medicaid fraud incidents in Minnesota, which saw billions stolen. New York’s healthcare expenses are projected to surpass $115 billion by 2026. Interestingly, New York allocates more to Medicaid than states with much larger populations, like Florida and Texas, yet […]
Pennsylvania Governor Josh Shapiro reveals efforts to combat Medicaid fraud
Pennsylvania Governor’s New Initiative Against Medicaid Fraud Pennsylvania Governor Josh Shapiro is set to unveil a significant initiative aimed at addressing Medicaid fraud and ensuring that taxpayer dollars are used properly, this Tuesday. Shapiro has been an advocate for combating fraud in social services since serving as attorney general. His focus comes as national scrutiny […]
Minnesota Medicaid review finds most enrollees’ claims not examined for fraud.
The Minnesota Department of Human Services (DHS) has launched a new process aimed at identifying potential Medicaid fraud, though, notably, it doesn’t review claims for most Medicaid enrollees in the state. This year, the state is spending over $2 million on services from Optum, part of UnitedHealth Group, to scan claims for 14 programs that […]
“Ghost” Doctors Populate Medicaid Records in Large Numbers
Issues with Medicaid Provider Availability I think it’s widely assumed that the majority of U.S. doctors are ready to take on the over 70 million individuals enrolled in Medicaid. In theory, that should work out well. But, the reality is a bit trickier. According to a recent national study from researchers at Oregon Health and […]
Planned Parenthood withdraws legal action against Trump regarding Medicaid reductions
Planned Parenthood Drops Lawsuit Over Medicaid Funding Planned Parenthood has decided to voluntarily withdraw its lawsuit against the Trump administration, which challenged the administration’s ability to stop Medicaid payments as outlined in Donald Trump’s tax legislation. The lawsuit was initiated in July following the signing of a spending bill by Trump that prohibited federal funds […]
Settlement of $1.7M in Medicaid Fraud Case with Former Indiana Doctor
news release INDIANAPOLIS — The U.S. Department of Justice has reached a settlement of $1.7 million with a former Indiana physician, addressing allegations that he submitted thousands of fraudulent claims to the state’s Medicaid program, as federal officials reported. The settlement involves Don Wagoner from Burlington, who previously ran Wagoner Medical Center LLC. The U.S. […]
Medicaid Shuts Down Tax Loophole, Saving Billions for Taxpayers
President Donald Trump’s administration is taking steps to close a longstanding loophole in Medicaid funding that officials argue shifts significant costs from states to federal taxpayers. Why is it Important This week, the Centers for Medicare and Medicaid Services (CMS) finalized a rule intended to eliminate what it refers to as a “funding gimmick” in […]