Drugmaker Mylan will pay $465 million to settle allegations that it overbilled Medicaid for its life-saving EpiPen, ending one of the controversies over the soaring price of the emergency allergy injection.The settlement with the Department of Justice follows news that … Read More
A decadent, eight-bedroom mansion with its own water park in the backyard is hitting the market for $32million. You’d be forgiven for thinking the manor was owned by a European lord in the French countryside, but the Dallas, Texas, estate … Read More
A judge has thrown out the federal civil case accusing Attorney General Ken Paxton of securities fraud, giving him his biggest legal victory yet since the allegations surfaced more than a year ago. U.S. District Judge Amos L. Mazzant III on … Read More
ATLANTA–(BUSINESS WIRE)–Amerigroup Community Care, a Georgia statewide provider of Medicaid managed care services, has partnered with DentaQuest to launch Dental Home services to its members. The Patient-Centered Dental Home model connects each member to a personal dentist who leads a … Read More
It all started with a battle over information: In one corner was the Texas Health and Human Services Commission. In the other were Texas lawmakers. The commission holds the details of the state’s Medicaid contracts with large pharmaceutical companies, which show … Read More
Two of Tenet Healthcare Corp.’s former subsidiaries admitted to conspiring to defraud Medicaid by using referral contracts for translation services to funnel pregnant patients through their doors.Atlanta Medical Center and North Fulton Hospital in Georgia each pled guilty to one … Read More
When it comes to a patient’s health, the old phrase, “The doctor knows best,” still rings true, especially for medications. When the Texas Legislature meets in January, there will be plenty of budget and policy battles waged. The battles fought over one of … Read More
CBS – Baby boomers are expected to need more in-home care as they age, but federal investigators are now raising an alarm over what they call persistent fraud and abuse in Medicaid-funded personal care services.Investigators from the Department of Health … Read More
Nearly 300 East Texas children with disabilities who are part of the state’s Early Childhood Intervention program have no one to provide them with medically necessary therapies after the region’s lone provider closed its doors this week in response to hefty budget cuts … Read More
Although mandatory pediatric dental insurance was included in U.S. healthcare reform, coverage is a stark departure from the benefits envisioned by the Patient Protection and Affordable Care Act and those required under Medicaid, according to a new report. Coverage isn’t … Read More
September 29, 2016 — A class-action lawsuit against three of the dental industry’s biggest companies will be allowed to proceed after a U.S. District Court judge refused to dismiss the proposed litigation, according to multiple reports.U.S. District Judge Brian M. … Read More
Dr. Richard Lange, the president of Texas Tech, told ABC-7 in an exclusive sit-down interview that the university has hired one of the dental school’s first faculty members: Dr. Richard Black, a local dentist with an extensive resume of serving … Read More
The Alaska Department of Health and Social Services has settled its complaints with Xerox over management of Medicaid claims, resetting its health-care contract with the business giant for an agreed-upon series of performance standards.The state’s claim against Xerox State Healthcare … Read More
The president of the Kansas Dental Association said he has stopped taking patients from two of the state’s three KanCare insurance companies because of a 4 percent Medicaid reimbursement cut initiated by Gov. Sam Brownback’s administration. John Fales, a pediatric … Read More
In a quick action on Monday, the three counts of alleged Medicaid fraud against the former owner of Bluegrass Autism in Danville were dismissed amid allegations of misconduct by an attorney general’s office investigator. Judge Darren Peckler granted the request … Read More
Rick Perry did not survive to dance another day. The former Texas governor was eliminated from the ABC program “Dancing with the Stars” on Tuesday night. Perry and his dancing partner, Emma Slater, faced elimination at the hand of on-air judges … Read More
A significant cut to the amount of money Texas pays therapists who treat children with disabilities was finally cleared to take effect — more than one year after state lawmakers originally ordered it — when the Texas Supreme Court on … Read More
One takeaway after several weeks of listening to people with their thumb on the pulse of health care policy issues in Texas is Medicaid expansion might well be dead on arrival before the 2017 legislative session begins in Austin.A number … Read More
AUSTIN –The $1.3 billion shortfall in Medicaid funding going into the next budget cycle can’t all be attributed to what Republicans typically call “out-of-control growth.” Source: Lawmakers tackle looming $1.3 billion shortfall in Medicaid – Houston Chronicle
After almost 16 years working for the Texas Medical Board, Mari Robinson announced Wednesday that she is stepping down as executive director in mid-October to accept a new position as the director of telehealth at The University of Texas Medical … Read More
He’s hardly the judges’ favorite, but former Texas Gov. Rick Perry was supported by enough of the viewing audience Tuesday night to survive to perform for another week on ABC’s Dancing with the Stars. The longest-serving governor in Texas history and … Read More
AGENCIES: Office of Inspector General (OIG) and Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Proposed rule. SUMMARY: This proposed rule would amend the regulation governing State Medicaid Fraud Control Units (MFCUs or Units). The proposed rule would incorporate … Read More
The state of West Virginia accused Mylan NV of Medicaid fraud for inflating the price of the EpiPen by 500 percent and has asked the company to turn over documents related to Medicaid reimbursements. Heather Bresch, Mylan’s chief executive officer, … Read More
HHS’ Office of the Inspector General has released its Medicaid Fraud Control report for fiscal year 2015. Below are six findings from OIG’s report: 1. In FY 2015, combined federal and state expenditures for the Medicaid fraud control units totaled … Read More
A few changes are coming soon for Medicaid patients in Missouri after another veto was overturned, this one concerning health. Senate Bill 608 might not have been one of the hot topics during this year’s veto session, but certainly is one that … Read More
As HHS submits its Legislative Appropriations Requests for the next biennium, we are proud to share them with the people of Texas, whom we serve. The HHS system’s budget proposals reflect better integrated operations, a commitment to serving Texans in … Read More
Jessica Stefonik is grinning. She’s got a bounce in her step. Her cheeks are a little puffy and her speech is a bit thick.”It feels weird right now, but I’ll get used to it,” she says.What she’s trying to get … Read More
Millions of Americans endure pain and shame because they can’t afford dental care. The issue is particularly pronounced in rural areas, as emphasized by a recent report by National Public Radio. People in rural areas are not only more likely … Read More
WHY WE DID THIS STUDY The Department of Health and Human Services (HHS) OIG is the designated Federal agency that oversees State Medicaid Fraud Control Units (MFCU or Unit). This MFCU Fiscal Year (FY) 2015 Annual Report highlights statistical achievements … Read More
The chairman of the Texas Senate Health and Human Services Committee and other high-ranking Republicans on Tuesday expressed little interest in expanding publicly funded insurance coverage to low-income Texans, suggesting the issue is unlikely to gain traction when the state … Read More
TYLER, Texas – A 65-year-old Dallas County, Texas, physician, has been resentenced to federal prison for health care fraud and identity theft violations in the Eastern District of Texas, announced U.S. Attorney John M. Bales. In July 2014, Tariq Mahmood, of … Read More
Texas lawmakers on Thursday revisited the fate of a $150 million cut in state funding to Medicaid payments for disabled children’s therapy made in 2015 — though the outcome of that cut remains uncertain as a legal battle over its … Read More
Former Gov. Rick Perry brought some Texas flair to the Season 23 premiere of “Dancing With The Stars,” but his footwork brought few plaudits from the judges. The show partnered Perry, who performed in an floral embroidered Western jacket, with professional dancer Emma Slater … Read More
A federal judge faulted the state Medicaid program in a strongly worded order, ruling the program had improperly denied 2,000 out-of-network emergency claims submitted by a nonprofit health care provider that treated indigent children.U.S. District Judge Keith Ellison ruled last week that the state … Read More
COLUMBUS — A state proposal to require working poor adults on Ohio’s expanded Medicaid rolls to pay more toward their health care or risk losing coverage was rejected Friday by the federal government.The Healthy Ohio Plan would have charged Medicaid … Read More
An Ohio man who is the son of a former Iranian prince and is said to be worth millions of dollars has been living off government assistance for the last two years.Ali Pascal Mahvi lives in an 8,000 square foot … Read More
McALLEN — Two Mission women pleaded guilty in connection with a 12-count indictment accusing them and several others of federal healthcare fraud totaling nearly $5 million, according to court records.Veronica Vela, 42, and Cynthia Lee Zapata, 50, appeared in federal … Read More
Parents with disabled children currently on disability-related Medicaid may be forced to find a new physician before November. STAR kids is a new managed care program serving those who are 20 years old and younger and goes into effect on … Read More
Five years ago, I started researching the delivery of children’s dental care in the growing Medicaid dental space. I discovered a pioneering, cost-effective dental health care solution called “dental support organizations,” or DSOs. Some DSOs help improve access for underserved … Read More
Sept. 7, 2016 /PRNewswire/ — Leveraging its unparalleled expertise and experience working with Medicaid dental programs, management of the Maryland Health Smiles Dental Program (Maryland Healthy Smiles) has been successfully transitioned to Scion Dental, part of the SKYGEN USA family … Read More
