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 […]
Medicaid recipients and advocates upset about state error leading to significant financial losses.
Colorado Medicaid Overbilling Issue Raises Concerns A mother in Colorado recently expressed her frustration over an overbilling issue with the state’s Medicaid agency that reportedly cost Colorado millions. Ciara Stewart, an advocate for children with disabilities and a resident of Aurora, stated, “It’s really upsetting that they’re going after the most vulnerable people without auditing […]
For years, Colorado Medicaid overpaid a program’s providers multiple times, leading to millions in losses.
Colorado Medicaid Overbilling Issues Uncovered In November, officials in Colorado’s Medicaid system addressed a significant error that had been impacting transit agencies in the metro Denver area. Five years prior, the government had instructed these agencies to bill as if they were providing specialized ambulance services. By 2022, this led to costs exceeding $640 per […]
Taxpayers are supporting California’s Medicaid deception.
Federal prosecutors in Minnesota have initiated a significant crackdown on Medicaid fraud, marking it as the largest of its kind in U.S. history. It raises serious concerns about a system intended to assist the underprivileged, which has been exploited by criminals for financial gain. California quickly chimed in, suggesting that they could have shared their […]
Sandy in-home health provider manager faces charges for Medicaid fraud
Sandy Home Care Manager Charged with Medicaid Fraud A home care provider manager in Sandy, who offers medical and personal assistance to seniors, faces charges for allegedly overbilling Medicaid while purchasing a home and two cars. Caleb David Richardson, 27, from Herriman, was charged in 3rd District Court with three counts related to violations of […]