*Editor’s note: This story has been updated throughout. Texas Health and Human Services Commission chief Kyle Janek said Tuesday he was misled in briefings on a no-bid, $110 million deal handed to an Austin company for unproven software to detect Medicaid … Read More
The CEO of data analytics company 21CT, whose $110 million deal with the state’s massive health agency is now the focus of a criminal investigation, is asking for yet more money from the state. CEO Irene Williams is asking for … Read More
State health officials circumvented two separate contract oversight boards when they brokered a $110 million no-bid deal with an Austin tech company — a transaction which is now the subject of a criminal investigation and much public scrutiny after two … Read More
BEAUMONT, Texas (U.S. Attorney’s Office, Eastern District of Texas) – A 75-year-old Beaumont doctor has been sentenced to federal prison for health care fraud violations in the Eastern District of Texas, announced U.S. Attorney John M. Bales. John Q. A. … Read More
Most recently, lawmakers have been looking at the Texas State Board of Dental Examiners, asking it to scale back proposed rules that would affect the use of dental support organizations. Some dentists use the groups for tasks including marketing, accounting … Read More
While he was brokering a multimillion-dollar state contract for Austin technology company 21CT, then-state health official Jack Stick was promoting 21CT’s software to other states, assisting the company’s growth plans and seemed poised to take an executive position with the … Read More
here’s a delicious irony in the news that a state contract intended to root out fraud and increase transparency in Texas’ Medicaid program might itself show the need for more transparency and oversight of the contracting process. But it mostly … Read More
AUSTIN – When then-Texas health official Jack Stick suggested earlier this year that a company he had helped land $20 million in no-bid state contracts might get another one through a sister department, he was referring the firm to a … Read More
AUSTIN (AP) — The widening fallout over $110 million in no-bid state contracts awarded to an Austin tech company forced the resignation of a second top state official Friday, this time at the request of Republican Gov. Rick Perry, as criminal … Read More
AUSTIN – The embattled inspector general of the Texas Health and Human Services Commission resigned Friday at the behest of Gov. Rick Perry as formal investigations into a widening controversy over a company that received $110 million in no-bid contracts … Read More
Gov. Rick Perry on Friday fired Doug Wilson, inspector general of the Texas Health and Human Services Commission, following the removal of Wilson’s former deputy after questions arose over the selection of a relatively unknown company for a $110 million … Read More
AUSTIN, TEXAS The widening fallout over $110 million in no-bid state contracts awarded to an Austin tech company forced the resignation of a second top state official Friday, this time at the request of Republican Gov. Rick Perry, as criminal … Read More
AUSTIN – Gov. Rick Perry said Friday that his pick for inspector general of the Texas health mega-agency will resign later this month amid mounting questions about how the agency gave $110 million in state contracts to a local company … Read More
AUSTIN — Jack Stick has left the building. The high-ranking Texas Health and Human Services Commission official, who submitted his resignation last Friday amid evidence of contracting favoritism, had planned to stay on the job until early next year, but instead … Read More
Health and Human Services Commission Inspector General Doug Wilson resigned Friday, scarcely more than an hour after the state auditor announced it would launch an investigation into no-bid contracts brokered under his watch in conjunction with an anti-public corruption at … Read More
AUSTIN — Texas is looking to reform the state office that goes after fraud in health care and human services: the Office of Inspector General. The Sunset Advisory Commission, which targets government waste within state agencies, recommended changes to the … Read More
*Editor’s note: This story has been updated. As questions continue to surround agreements made between the Texas Health and Human Services Commission and a contractor, a legislator is calling for investigators to get involved. State Sen. John Whitmire, D-Houston, on … Read More
AUSTIN – The Travis County District Attorney’s office and the Texas State Auditor will investigate how a company here won $110 million in state contracts without any competition, officials announced Thursday as the deals drew increasing condemnation and calls for … Read More
A spokesman for House Speaker Joe Straus on Thursday said the House will propose “a budget in January that requires much more stringent reporting on contracts by state agencies and institutions.” Jason Embry sent the statement in response to inquiries … Read More
AUSTIN – The powerful Texas Health and Human Services Commission official who resigned last week stretched the boundaries of a little-known state purchasing program to ensure a local company would not face competition for a $110 million contract, according to … Read More
We can no longer have an OIG that accuses providers of fraud, presumes them guilty, and denies them due process.” via Reform sought for agency investigating health, human services fraud – Reporter News.
New York State is going paperless, at least when it comes to drugs. A deadline imposed by the New York State Department of Health is rapidly approaching, to make New York State one of the first to axe state-issued prescription … Read More
Jack Stick resigned last week as top lawyer for the Texas Health and Human Services Commission. Nine months before Jack Stick resigned as the top lawyer for the Texas Health and Human Services Commission amid concerns over a $110 million no-bid … Read More
ndustry rivals of an Austin tech company, whose pending $90 million no-bid contract extension was stripped last week, say Texas health officials misled them when they competed for a Medicaid fraud contract, which they now allege was tailor-made for the … Read More
After receiving information from the Rogersville Police Department, TBI Agents began investigating Ronald James on February 5. During the course of the investigation, Agents developed information that in November and December 2013, James prescribed Hydrocodone for a TennCare recipient who … Read More
ST. AUGUSTINE, Fla — More than 7,000 patients have trusted their health to Medi MD, but the owners of the clinics in St. Johns County are facing page after page of serious accusations.Action News was there in October, when the … Read More
Jack Stick, one of the elite health officials and former chief counsel for Texas Health and Human Services resigned Friday. This development took place because Stick had awarded $110 million contract to the Austin tech company 21CT in a no-bid … Read More
During a March 2012 webinar, a top Texas health official said his office was implementing a revolutionary tool to help Medicaid fraud investigators find bad guys: graph pattern analysis.“Graph pattern analysis is really the next line of defense for this … Read More
The top lawyer for the state’s sprawling health agency has resigned amid questions raised by an American-Statesman investigation into his relationship with an Austin technology company to which he was steering $110 million in contracts. Jack Stick, chief counsel for … Read More
The top lawyer at the Texas state agency overseeing all health and human services has resigned following concerns about a $110 million no-bid contract. Jack Stick, the general counsel at the Health and Human Services Commission, offered his resignation after … Read More
Jack Stick, the top lawyer for the Texas Health and Human Services Commission, is resigning his post amid a crumbling state contract with data warehouse 21CT. The commission’s Office of Inspector General, or OIG, has been under scrutiny for the … Read More
When investigators suspected that Houston’s Riverside General Hospital had filed Medicare claims for patients who weren’t treated, they moved to block all payments to the facility. Then politics intervened. Rep. Sheila Jackson Lee, a Texas Democrat, contacted the federal official … Read More
INDIANAPOLIS, Ind. (Dec. 11, 2014)– Charges have been filed against an Indianapolis dentist for falsely billing the State’s Medicaid program for dental treatments she allegedly did not perform. Dr. Bernice Avant, D.D.S., has been charged with one count of Medicaid fraud, … Read More
State administrators cannot withhold Medicaid payments from physicians suspected of program violations without evidence of fraud, a Texas appeals court has ruled. Appellate judges also struck down a rule that enabled the Texas Health and Human Services Commission (THHSC) to … Read More
WHY WE DID THIS STUDY Examining access to care takes on heightened importance as enrollment grows in Medicaid managed care programs. Under the Patient Protection and Affordable Care Act, States can opt to expand Medicaid eligibility, and even States that … Read More
Ten people – including three Brooklynites – were arrested and charged for their roles in an alleged $70 million scheme to defraud Medicaid and Medicare by submitting phony claims to the programs through three sham medical clinics, including one based … Read More
CMS Attempts to Curb Medicare Fraud The Centers for Medicare and Medicaid Services (CMS) is issuing new rules to help prevent Medicare fraud and abuse by barring physicians with unpaid debt from re-entering the system and ejecting providers who have … Read More
Rite Aid Corporation, a Delaware corporation and national retail drugstore chain with its principal place of business in Camp Hill, Pennsylvania, has paid the United States $2.99 million to resolve allegations that it violated the False Claims Act by inappropriately … Read More
The Corporate Whistleblower Center says, “We think there are enormous opportunities for in-home healthcare, or managers at hospice companies to cash in on lucrative federal whistleblower rewards, if they possess well documented proof the employer is overbilling Medicare, or Medicaid … Read More
A Florida owner and operator of multiple physical therapy rehabilitation facilities was sentenced in federal court in Tampa today to serve 11 years in prison for his role in organizing a $28.3 million Medicare fraud scheme involving physical and occupational … Read More
