Former NFL player Joel Rufus French sentenced to 16 years in prison for nearly $200 million in Medicare fraud
Former Football Player Sentenced to Over 10 Years for Fraud A former football player is set to serve more than a decade behind bars. Joel Rufus French received a sentence of 196 months for his role in defrauding Medicare and the private health care programs of the Department of Veterans Affairs, totaling a staggering $197 […]
Two men receive sentences for $522 million Medicare genetic testing fraud scheme
Two men were sentenced on Monday for their involvement in a substantial fraud scheme that defrauded Medicare, Medicaid, and private insurance companies out of $522 million. They employed tactics like kickbacks, fraudulent medical orders, and DNA sample collection from patients nationwide. Reyad Salahardeen, a 57-year-old from Buford, Georgia, pleaded guilty to conspiracy to commit health […]
Medicare and Medicaid benefits officially cease at Laurel Ridge Treatment Center
Laurel Ridge Treatment Center Faces Challenges San Antonio – These are tough times for the Laurel Ridge Treatment Center, with some patients now looking for help elsewhere as they navigate their own challenges. The mental health and addiction treatment facility, located on the Northside, has officially lost its ability to receive payments from Medicare and […]
Government Watchdog: Medicare ‘Innovation’ Center Under Obamacare Squandered More Than $5 Billion
Concerns Over CMMI’s Performance The legacy of Obamacare, particularly through the Centers for Medicare and Medicaid Innovation (CMMI), appears to be falling short of expectations, leading many to view it as a failed experiment rather than a true reform effort. CMMI was established under the Affordable Care Act to test new healthcare ideas, aiming to […]
InterMed will stop accepting Martin’s Point Medicare Advantage insurance beginning in 2027.
Insurance Changes Leave Patients in Limbo Pamela Smith received an unexpected email from InterMed on Thursday, informing her that starting in January, they would stop accepting her insurance, Martin’s Point Medicare Advantage. “I was taken aback,” Smith, who lives in North Yarmouth, said the next day. “It just doesn’t make sense. I’m trying to think […]
Medicare Premium Increase Consumes Almost Half of Social Security’s 2.5% COLA Boost in 2026
Quick Read The 2.5% Social Security COLA for 2026 raised the average retiree’s monthly check by roughly $50. However, Medicare Part B premiums took away about $18 of that, leading to a net benefit of just $32 per month. For high-income retirees in the IRMAA tier, increases in premiums meant they experienced a loss of […]
Couples might require over $400,000 for health-care expenses in retirement, despite having Medicare.
Research conducted by the Employee Benefit Research Institute indicates that retirees might require significantly more funds than initially anticipated to manage their healthcare expenses after retiring. This analysis takes into consideration Medicare, the U.S. federal health insurance program for those aged 65 and older. While Medicare covers a range of services, experts warn that many […]
What Actually Occurs During a Medicare Wellness Visit? An Expert Clarifies
Understanding Your Medicare Annual Wellness Visit Each year, individuals enrolled in Medicare Part B can take advantage of an Annual Wellness Visit (AWV). This type of visit isn’t a physical exam, but a chance for participants and their healthcare providers to develop a personalized prevention strategy. While tests can seem daunting, they can also spark […]
Doctor’s Medicare billing canceled due to fraud concerns in LA hospice
As allegations of significant hospice fraud escalate in Los Angeles County, a doctor is under close examination due to connections with Medicare claims for thousands of patients across numerous hospices. Dr. Rajiv Bouba reportedly managed Medicare claims for around 2,800 patients at 126 hospices throughout California in 2024, as reported by CBS News, referencing data […]
UnitedHealth shares rise following increase in Medicare Advantage rates
UnitedHealth Group Inc. experienced a notable surge in its shares, climbing over 8% after federal officials revealed Medicare Advantage payment increases that exceeded expectations. This news is a boost not just for UnitedHealth, but for the entire managed care industry. The stock jumped from a closing price of $281.41 on Monday to more than $305 […]