Four years ago, Medicare auditors came to an alarming conclusion: the federal government shouldn’t have paid a half-dozen insurance plans hundreds of millions of dollars to treat seniors in especially poor health. The findings signaled that billing errors could be deeply rooted within private Medicare Advantage plans — which contract with the federal government to […]
In Rochester, New York, a Medicare plan was paid $41 million to treat people with serious diseases — even though the plan couldn’t prove the patients in fact had those diseases. These health plans and hundreds of others are part of Medicare Advantage, a program created by Congress in 2003 to help stabilize health care […]
When high levels of lead were discovered in the public water system in Flint, Mich., in 2015, Medicaid stepped in to help thousands of children get tested for poisoning and receive care. When disabled children need to get to doctors’ appointments — either across town or hundreds of miles away — Medicaid pays for their transportation. […]
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