News
Somali fraud scheme exposes billions siphoned from US, one state set to crack down
3+ hour, 17+ min ago (736+ words) Somali fraud scheme not limited to Minnesota: Missouri State Treasurer Vivek Malek is imposing new requirements that remittance payment businesses ensure that customers are lawfully in the U.S. before they can send money to foreign countries. He hopes other states follow…...
HHS report finds Medicaid paid over $200 million in incorrect payments for deceased recipients
1+ day, 4+ hour ago (211+ words) A Department of Health and Human Services Office of the Inspector General report released Tuesday found that Medicaid improperly paid over $200 million to health care providers between 2021 and 2022 for patients who had already died." The internal watchdog said its audit…...
High insurance costs still plague Georgia
4+ day, 13+ hour ago (430+ words) Georgia is one of the least profitable states in the nation for insurance companies, a trend that could lead to premium increases unless lawmakers act, according to a Georgia House of Representatives committee. Georgia has over 400 personal home and automobile…...
Nine more pharmaceutical companies agree to most-favored-nation pricing under Trump
5+ day, 2+ hour ago (213+ words) Agreements means Americans will pay the lowest price for many prescription drugs among U.S. economic peers. An additional nine of the world's largest pharmaceutical companies have agreed to offer many of their most popular drugs at most-favored-nation pricing in the U.S. This…...
Trump announces deal with nine pharmaceutical companies to lower drug prices
5+ day, 7+ hour ago (139+ words) President Donald Trump said Friday that his administration has struck a deal with nine pharmaceutical companies that is expected to lower prescription drug prices. The deal is in response to letters Trump sent to the leaders of 17 major drugmakers in…...
Prescription for fraud? GAO finds serious abuses in Obamacare exchanges
1+ week, 3+ day ago (276+ words) Remember when Americans were told that the Affordable Care Act (also known as Obamacare) would lower health care costs and that if you liked your doctor, you could keep her? How things have changed over the past 15 years. Health care…...
Questions about Georgia tort reform, insurance rates continue
1+ week, 5+ day ago (376+ words) Georgia dropped off the American Tort Reform Foundation's list of "Judicial Hellholes" for the first time in seven years, but remains on the watch list due to certain "problematic" county courts. Some also question whether the state's tort reform law…...
GAO finds fraud persists in Obamacare tax credits, fake enrollees still receiving subsidies
2+ week, 5+ day ago (559+ words) "We were able to get subsidized insurance for fake enrollees. We also found some issues with enrollees' Social Security numbers that could indicate identity fraud." The program's fraud risks were last assessed in 2018, even though the program and its risks…...
GAO finds fraud in Obamacare subsidies, $94 million paid to insurers for deceased people
2+ week, 6+ day ago (371+ words) "While Obamacare fraud is being confirmed by GAO, CMS, CBO and other outside reports, patients are suffering," House Ways and Means Committee Chairman Jason Smith said The Government Accountability Office found fraud in Obamacare subsidies, including $94 million paid to insurers…...
Michigan wasted millions on deceased Medicaid enrollees
1+ mon, 13+ hour ago (751+ words) Of the 14 states the audit examined, report found that Michigan reported one of the highest amounts of Medicaid payments to the deceased. Michigan made $39.9 million in Medicaid payments to deceased enrollees over a two-year period a decade ago, with a…...