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A private 2014 decision by the Centers for Medicare & Medicaid Services faces new scrutiny in a multibillion-dollar Justice Department fraud case against UnitedHealth Group.
More than 172,000 nursing home residents died of covid. In lawsuits, some families who lost loved ones say they were misled about safety measures or told that covid wasn鈥檛 a danger in their facilities.
A recently unsealed lawsuit alleges Aledade Inc. developed billing software that boosted revenues by making patients appear sicker than they were.
Thousands of medical devices are sold, and even implanted, with no safety tests.
In a torrent of lawsuits, patients accuse Florida device maker Exactech of hiding knee and hip implant defects for years. The company denies the allegations.
The private equity-backed practice has been known to demand more than $100,000 in charges or penalties. One patient is fighting back.
When Medicare stops paying for a pricey drug that prolongs life, an Ohio man considers giving up treatment to spare his family enormous debt.
In a surprise decision, U.S. officials yield to insurance industry demands 鈥 at least for now.
KHN has released never-before-seen details of federal audits as the government weighs action against dozens of Medicare Advantage plans.
Facing rare scrutiny from federal auditors, some Medicare Advantage health plans failed to produce any records to justify their payments, government records show. The audits revealed millions of dollars in overcharges to Medicare over three years.
Taxpayers had to foot the bills for care that should have cost far less, according to records released after KHN filed a lawsuit under the Freedom of Information Act. The government may seek to recover up to $650 million as a result.
Private equity firms have shelled out almost $1 trillion to acquire nearly 8,000 health care businesses, in deals almost always hidden from federal regulators. The result: higher prices, lawsuits, and complaints about care.
The lawsuit was filed three years ago to learn about vast overcharges by the popular health plans that are detailed in audits the government refused to release to the public.
The Government Accountability Office and the Health and Human Services inspector general鈥檚 office say seniors enrolled in the program are suffering and taxpayers are getting bilked for billions of dollars a year.
With its latest venture into primary care clinics, is America鈥檚 leading organization for seniors selling its trusted seal of approval?
Investigators allege a Texas company that arranges spine surgery and other medical care for people injured in car crashes accepted bribes in violation of 1960s-era racketeering law.
The letters function as liens that 鈥減rotect鈥 spine surgery clinics while patients could be left with inflated medical bills and unexpected health risks.
Some insurers pocketed 鈥榚ye-popping鈥 overpayments, billing records show.
The feds鈥 civil suit links exaggerated patient bills to 鈥渢ens of millions鈥 in overcharges.
Dr. Kingsley R. Chin and SpineFrontier were the subject of a recent KHN 鈥淪pinal Tap鈥 investigation.
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