Orlando, Fla.-based Aventus Health has filed a class action complaint against United Healthcare for allegedly failing to reimburse Aventus for 35,000 COVID-19 tests. These tests were submitted to UHC as an out-of-network provider, according to a release shared with Becker’s. … Read More
Three men have been charged with conspiring to defraud the federal government out of more than $107 million after submitting fraudulent genetic testing claims to Medicare. A superseding indictment was opened Friday, charging John Grisham and Rob Wilburn, of Texas, … Read More
A retired dentist plans to ask the state next week to change its rules as to what procedures dental hygienists are allowed to perform. John Echternach, who has spent 40 years in dentistry with a practice in Henniker, New Hampshire, … Read More
A new Oregon program offering dental insurance for veterans launches this month — and state officials say they have funding to serve about 10 times more veterans than have enrolled so far. They are encouraging veterans to contact their county … Read More
Molina Healthcare Inc. MOH, 1.56% said Tuesday it expects its California Medicaid revenue to double to about $3.9 billion for full year 2024 from about $1.9 billion now, after it was awarded Medi-Cal contracts by the California Department of Health … Read More
GREAT NECK, NY — A Great Neck doctor who pleaded guilty in March to illegally billing Medicare over $3 million over five years is heading to prison for 2 1/2 years, prosecutors said Thursday. Morris Bernard, a 58-year-old gastroenterologist, fraudulently … Read More
LONDON—In the final days of 2020, the U.S. health insurer Centene made a swift incursion into Britain’s prized National Health Service, one of the world’s largest employers. A Centene subsidiary, Operose Health, took over nearly three dozen medical practices in … Read More
As part of Biden-Harris Administration efforts to strengthen Medicaid, new guidance will help states expand access to health care services and tackle unmet social needs Today, the United States Department of Health and Human Services (HHS), through the Centers for … Read More
A whistleblower has asked the US Supreme Court to reinstate a lawsuit alleging that Allergan Sales LLC defrauded the Medicaid Drug Rebate Program by providing false price reports that caused the government to overpay for drugs. The Supreme Court should … Read More
What is Texas HB 300, who is required to comply with the legislation, and what are the penalties for noncompliance? This article answers these and other important questions about Texas HB 300. What is Texas HB 300? The Health Insurance … Read More
A New York woman was arrested today for allegedly offering and paying illegal health care kickbacks and money laundering. According to court documents, Alexandra Stchastlivtseva, 52, of New York, owned several durable medical equipment companies. Stchastlivtseva allegedly offered and paid … Read More
Ready to jump-start your SmileCon learning? The new Bridge to SmileCon Webinar Series will offer free continuing education courses by speakers from SmileCon 2022 Houston and SmileCon 2023 Orlando from January through August. The monthly series will cover a wide … Read More
Many people have decided to forego the dentist and instead have turned to TikTok for oral care advice, which many dentists warn can be very dangerous. The tag #DIYdentist, which has garnered over three million views on TikTok, is filled … Read More
Florida leads the nation in the number of individuals, nearly 6 million, who are living in Dental Health Professional Shortage Areas. Sixty-six of Florida’s 67 counties lack the amount of professionals needed to provide care, according to U.S. Health Resources … Read More
Millions of Americans gained Medicaid coverage during the pandemic. Starting next year, millions are likely to lose it. The mammoth spending bill passed by Congress would allow states to kick some people off Medicaid starting in April. Millions would become … Read More
Here are 37 Centene updates Becker’s has covered since Sept. 2: A lawsuit from a pension fund holding Centene stock accused former executives of conspiring to defraud state Medicaid programs. 2. Centene is expecting to see total revenues between $137.4 … Read More
In this piece, we will take a look at the ten most advanced countries in dentistry. For more companies, head on over to 5 Most Advanced Countries in Dentistry. Whether a dentist is a doctor or not is still up … Read More
CLAYTON, Mo. — The U.S. Department of Defense on Thursday bypassed Centene Corp. (NYSE: CNC) in awarding $136 billion in contracts for the health insurance provided to active-duty military members, a blow to the Clayton giant and St. Louis’ largest … Read More
NBC reports that millions of Americans who enrolled in Medicaid amid the COVID pandemic could lose their coverage in spring. [view video in link] Source: $1.7 Trillion Federal Spending Bill May Make Millions of Americans Ineligible for Medicaid / Cairns … Read More
NEW YORK – New York Attorney General Letitia James today announced that her office has reached a civil settlement with Dr. David B. DiMarco, M.D. and his companies D.B. DiMarco, M.D., P.C. (D.B. DiMarco) and DiMarco Vein Centers LLC (DiMarco … Read More
RICHMOND, Va. (WRIC) — A Chester woman has pleaded guilty to multiple fraud charges for her involvement in a Richmond-based health care services scheme. Sharon Johnson, 58, owned and operated “Sharon Y. Johnson & Associates” between 2014 and 2021. Johnson … Read More
A doctor from Brookline was indicted on Tuesday for money laundering and healthcare fraud, according to U.S. Attorney Rachael Rollins. Pankaj Merchia, 49, a sleep medicine physician of Brookline and of Boca Raton, Florida, was indicted on three counts of … Read More
Missouri-based Centene Corp. has agreed to pay Iowa $44.4 million to settle claims that it defrauded the state’s Medicaid system. That makes it the latest state to settle claims that were originally raised in Ohio in 2021. Centene, the nation’s … Read More
The federal system meant to stop health care business owners and executives from repeatedly bilking government health programs fails to do so, a KHN investigation has found. That means people are once again tapping into Medicaid, Medicare, and other taxpayer-funded … Read More
A Montana addiction clinic’s plan to give people with substance use disorders as much as $1,966.50 in gift cards and vouchers to follow its treatment program is raising questions about the use of financial incentives with patients. The tug of … Read More
(The Center Square)- A licensed nurse practitioner from Spokane is facing 68 criminal charges after being accused by Washington State Attorney General Bob Ferguson’s office of defrauding Medicaid by $5 million. The state has filed charges in Spokane County Superior … Read More
A 59-year-old registered nurse from Spokane accused of defrauding $5 million from Medicaid faces 68 criminal charges. Paul B. Means, registered owner of Spokane’s South Hill-based company Abilia Healthcare, was formally charged Thursday with felonies including leading organized crime, robbery, … Read More
Amajor civil rights crisis is sneaking up on America. Many observers expect the Biden administration to end the COVID-19 Public Health Emergency in April or July 2023. Whenever that happens, Medicaid will begin terminating families’ health care for the first … Read More
Attorney General Ellen Rosenblum and Insurance Commissioner Andrew Stolfi jointly announced a $17 million settlement with managed health care giant Centene regarding pharmacy services and including allegations that the company overcharged Oregon’s Medicaid program for pharmaceutical costs. Centene served as … Read More
AMARILLO, Texas (KAMR/KCIT) — Officials with Amarillo Oral and Maxillofacial Surgery (AOMS) announced that one local individual will receive a $50,000 smile makeover on Friday. Officials detailed that the oral surgeon will surprise the recipient who was selected out of … Read More
HARTFORD, Conn. — A Connecticut-based physician and a slew of his businesses have been ordered to pay $4.2 million in damages for false claims for payment to Medicare and state Medicaid program for improper billing and unnecessary services. The state … Read More
In a development in what’s being billed as one of the largest healthcare fraud schemes ever, a federal grand jury yesterday convicted the owner of a laboratory that performs sophisticated genetic tests of bilking Medicare out of hundreds of millions … Read More
Texas’ system of home and community care for people with disabilities has been beset by crisis for years. Funds are scant. Demand for services vastly outweighs supply. Workers receive poverty wages. Delays in oversight mean facilities can go more than … Read More
Texas has the highest rate of children without medical insurance in the country. The number of kids without health coverage could go up in 2023 if the Texas legislature declines to expand Medicaid yet again. The state is one of … Read More
In April 2016, government auditors asked a Blue Cross Medicare Advantage health plan in Minnesota to turn over medical records of patients treated by a podiatry practice whose owner had been indicted for fraud. Medicare had paid the Blue Cross … Read More
The federal system meant to stop health care business owners and executives from repeatedly bilking government health programs fails to do so, a KHN investigation has found. That means people are once again tapping into Medicaid, Medicare, and other taxpayer-funded … Read More
AUSTIN (KXAN) – Valerie Bennett rarely goes to the doctor, and she’s never had diabetes. So, it came as a troubling surprise when she noticed hundreds of dollars in diabetic supplies billed to her Medicare account and supplemental insurance in … Read More
With only a few weeks left in the year, more than 100 healthcare organizations and advocacy groups are urging Congress to prevent cuts in Medicare payments. Congress is looking at a Jan. 1 deadline to avert the planned reductions. The … Read More
NEW YORK – New York Attorney General Letitia James today announced two agreements with White Glove Community Care, Inc. (White Glove), a Brooklyn-based home health agency, for causing false claims to be submitted to Medicaid and cheating employees out of … Read More
We did it! Better dental benefits were on the ballot in Massachusetts, and on Nov. 8, voters delivered a decisive victory with over 71% supporting Question 2. This landmark decision creates a first-in-the nation insurance reform that will change the … Read More
