Advocates of Medicaid expansion in Texas often highlight our state’s record of the largest uninsured population in the nation, according to a recent U.S. Census Bureau report. Though the uninsured rate is falling, advocates say, it would fall even faster … Read More
In what may be the largest example of medicaid fraud in Nebraska’s history, investigators missed red flags that could’ve potentially saved millions. Now, the state wants to make sure it never happens again. Two weeks ago we told you about … Read More
EAST ST. LOUIS — A Brighton woman pleaded guilty Tuesday to engaging in a scheme to defraud a health care program. In a press release Wednesday, U.S. Attorney Stephen R. Wigginton said sentencing for Jessica A. Teets, 27, has been … Read More
PULASKI COUNTY (KATV) — A 32-year-old man from Desoto, Texas, was arrested for Medicaid fraud. Arkansas Attorney General Leslie Rutledge announced the arrest of DeAndre L. Taybore Tuesday by the Attorney General’s Medicaid Fraud Control Unit. He is accused of … Read More
BROOKLINE, Mass., Oct. 13, 2015 /PRNewswire/ — Bharani Padmanabhan MD PhD, a multiple sclerosis neurologist practicing in theBoston area who is called Dr. Bharani by patients and colleagues, filed a lawsuit in Federal court alleging massive violations of the Computer Fraud … Read More
Texas was within eight days of slashing the amount of money it pays therapists for poor and disabled children when a state district judge last month stepped in and blocked the move. It was the latest round in a high-profile … Read More
LITTLE ROCK, Ark. (Arkansas AG) – Arkansas Attorney General Leslie Rutledge announced the arrest of a Pulaski County man by the Attorney General’s Medicaid Fraud Control Unit. Myron Thrash, 35, of Little Rock was arrested on one count of Medicaid … Read More
Washington, DC – The nation’s second-largest nursing home pharmacy, PharMerica Corp., has agreed to pay $9.25 million to resolve allegations that it solicited and received kickbacks from pharmaceutical manufacturer Abbott Laboratories in exchange for promoting the prescription drug Depakote for … Read More
Congress and the President have two months to hammer out a budget before the country teeters on another fiscal cliff. One big issue is the $85 billion in spending cuts on defense and domestic programs imposed by the sequester. Some … Read More
HOUSTON—The owner and operator of Elite P Care Medical Services has been convicted of conspiracy to commit health care fraud and health care fraud in a $1 million fraud scheme, announced United States Attorney Kenneth Magidson. Verona Spicer, 46, pleaded … Read More
Jack Stick says he’s “the whipping boy,” the guy who became the face of the 21CT contract scandal as Texas officials pointed fingers and scrambled to save their own jobs. “I think in December of last year, people began to … Read More
Following an outcry from dozens of state lawmakers, Texas’ top health agency announced Thursday it will make less drastic cuts than originally planned to a therapy program for children with disabilities, even if that means spending more than lawmakers budgeted for the … Read More
The gap in dental care utilization in the U.S. narrowed between children enrolled in Medicaid and those with private dental benefits from 2005 to 2013, but a large gap remains between adults in those categories, according to a new research … Read More
EDINBURG — The new head of the state health agency’s investigative division visited with stakeholders in Hidalgo County Wednesday to learn about local healthcare issues and promote his vision. Stuart Bowen Jr., inspector general for the Texas Health and Human … Read More
Medicare spent more than $30 million during the first half of 2012 on ambulance transports for patients that appear to be ghosts on paper, according to a new report released by the Office of Inspector General (OIG) Tuesday. The report revealed … Read More
With more large-scale, multi-million dollar fraud schemes surfacing across the country, enforcement officials are utilizing Medicare Fraud Strike Force teams to dismantle entire fraud operations. Source: Anatomy of a fraud bust: Collaboration creates efficiency
Hawaii’s Medicaid Fraud Control Unit is costing 10 times as much to operate as it is in exposing waste, fraud and abuse in the federal health care program for the poor and disadvantaged, according to a new report from the … Read More
A Lincoln pharmacist tearfully pleaded guilty Tuesday to health care fraud, admitting he bilked Nebraska’s Medicaid program of $14.4 million in what is believed to be the largest such fraud Source: Lincoln pharmacist pleads guilty to possibly state’s biggest Medicaid … Read More
Former Texas health official Jack Stick tried to persuade dozens of other states to buy Austin technology company 21CT’s Medicaid fraud detection system even as he privately complained that the results it produced for Texas were worth “a bucket of … Read More
Bureaucracy can be a real killer. An 87-year-old Brooklyn woman found that out when she got a letter from the city’s Bureau of Fraud Investigation saying her Medicaid has been cut off — because she is dead. “I couldn’t believe … Read More
The most successful Medicare Fraud Strike Force sent health care scammers scurrying all over the country — but hasn’t come close to running out of cases on its own turf. The Southern District of Florida accounted for 18 percent of health care … Read More
Jack Stick, a former state official at the center of a contracting scandal at the Texas Health and Human Services Commission, on Friday received a sentence of six days in jail and 90 days without a driver’s license for a … Read More
Attorney General Pam Bondi’s Medicaid fraud control unit and the Altamonte Springs Police Department said they arrested Orange County dentist Dr. Merys Downer-Garnette on Thursday. Downer-Garnetted is accused of billing double-billing for services not rendered, totaling more than $5,500 in … Read More
TYLER (KYTX) – Law enforcement officers in East Texas have arrested multiple individuals charged in a Medicare fraud scheme.A federal grand jury returned an 18-count indictment charging 12 individuals with Three Angels Home Heath, Inc., in a scheme to defraud … Read More
A Travis County judge has temporarily blocked the state from reducing funding for a Medicaid-backed therapy program for thousands of Texas kids with special needs, ruling on Tuesday that there was enough reason to believe the Texas Health and Human … Read More
WASHINGTON, D.C. — Three in four Americans (75%) last year perceived corruption as widespread in the country’s government. This figure is up from two in three in 2007 (67%) and 2009 (66%). Source: 75% in U.S. See Widespread Government Corruption Gallup
McALLEN—A 28-year-old ambulance company owner accused of submitting more than $1 million in fraudulent claims to Medicare and Medicaid was convicted Tuesday after pleading guilty before a federal court judge. Victor Lee Gonzalez, the owner of Vic’s Texas Transport Inc., … Read More
In the 1980s and 90s, driftnet fishing was a common technique used to catch salmon, tuna and other types of fish. It was an incredibly effective and efficient commercial fishing method. The nets, which were as long as 50 kilometers, … Read More
Former Texas health commission lawyer Jack Stick, found guilty Monday of driving while intoxicated, will be sentenced within the next two weeks, but no final date has been set, Travis County court officials said Tuesday. The former state representative and … Read More
AUSTIN – Texas officials are giving up on getting medical providers to repay hundreds of millions of dollars in Medicaid funding that the state for years has said was fraudulently billed for questionable dental and orthodontic procedures. After a series of … Read More
A Travis County jury on Monday convicted former state representative and Texas Health and Human Services general counsel Jack Stick of drunken driving, the latest chapter in year of problems for the former prosecutor and state lawmaker. Stick, 49, was … Read More
The top watchdog of Medicaid and other federal entitlement programs in Texas has identified more than $100 million in possible fraud and waste this fiscal year, according to the first report to the governor after years of public failures and … Read More
More than three years after he was originally arrested, Jack Stick, a former state representative and previous inspector general for the Texas Health and Human Services Commission, went on trial Friday for a drunk-driving charge he has fiercely contested in … Read More
If there is a poster child for dysfunction in Texas government, look no further than the agency Stuart Bowen inherited in January. The Office of Inspector General over the state’s sprawling health agency, charged with investigating Medicaid fraud and waste, … Read More
AUSTIN — Nearly three years after police pulled over a then-powerful Texas state official on suspicion of drunk driving, prosecutors are finally getting a chance to prove their case. Source: Controversial former state official’s drunk driving trial begins
Before Jack Stick resigned as chief counsel for the Texas Health and Human Services Commission amid one of the biggest political scandals in 2014, the former state representative was fighting a charge in Travis County court for driving while intoxicated. … Read More
Costs almost always spiral higher on big government projects because of “deception and mismanagement” by Congress, federal managers and contractors, according to scholars at the Cato Institute. “Cost overruns on large government projects are pervasive,” wrote Chris Edwards and Nicole … Read More
What’s the first thing that comes to mind when you think about Coca-Cola? Is it the dozens of executives who reside in the company’s corporate offices? Or do you think about polar bears?Unless you are one of those corporate executives, … Read More
On Sept. 11, 2015, the House Energy and Commerce Committee’s Health Subcommittee held a hearing, entitled “Strengthening Medicaid Program Integrity and Closing Loopholes,” to discuss six bills related to improving Medicaid program integrity and closing eligibility loopholes in the program. … Read More
An Albany judge dismissed an indictment against a nurse charged in a Medicaid fraud, saying there was no evidence she knew that the owners of the facility she managed had falsely certified its regulatory compliance. Gelena Deverman, 35, was charged … Read More
