Louisville Pharmacist To Prison, Order To Pay $188k For Healthcare Fraud

Republicans would like to repeal laws. Democrats would like to pass new ones. To get the full picture of what is happening and for recommendations for what states can do, consult“ Don’ t Wait for Washington,” produced by the Paragon Health Institute.

A month-long jury trial focusing on a pharmacy fraud scheme held in U.S. District Court in Greeneville ended Thursday with the conviction of 44- year-old Florida man Peter Bolos of conspiracy to commit health care fraud, 22 counts of mail fraud, and felony misbranding of a medication. Court documents and evidence presented at trial show that Bolos, Andrew Assad,…

Empower Healthcare Solutions, a managed care organization that serves roughly 20,000 high-need Medicaid beneficiaries in Arkansas, is under investigation by state regulators and the attorney general's office for allegedly defrauding Medicaid. In a letter sent to the state's Office of Medicaid Inspector General on Tuesday, Deputy Attorney General…

Despite what Jimmy“ JJ” Walker, Joe Namath and other Baby Boomer darlings would apparently have you believe, Medicare Advantage plans are a bad deal for most Americans 65 and over. “Medicare Part C” plans, as they’ re also known, are actually a way to opt out of the Medicare coverage you’ ve been paying into through your working life and instead funnel money to…

According to the 2021 Aflac Health Care Issues Survey released today, these choices include working more, forgoing medical care, cutting back on holiday spending and more. With the latest Centers for Disease Control and Prevention data indicating more than 45 million Americans tested positive for COVID-19 since the pandemic began, millions of households…

The privatization of Illinois' health care system for the poor has shifted hundreds of millions of dollars in profits to insurance companies and away from frontline medical providers, a Better Government Association investigation has found. The four nationwide insurance companies- called managed care organizations, or MCOs- last year were paid a record $16…

Manasquan, NJ: – During the recently concluded 2021 National Council of Insurance Legislators Annual National Meeting in Scottsdale, AZ, NCOIL adopted…

"I live on Social Security and I'm retired, so I don't have insurance, and things just add up and I don't go," the Elgin man said. Hernandez was one of 424 patients treated at a two-day clinic at Judson University's Lindner Fitness Center in Elgin coordinated by the Heal Elgin Project and Remote Area Medical Volunteer Corps. The Elgin woman, who has diabetes, said she'd…

Nov. 30— A purported health care cost-sharing company, which was once deemed "ruthless in denying coverage" by "Last Week Tonight's" John Oliver, has lost a $4.7 million lawsuit in Lexington federal court. A judge in a Lexington federal court ruled against the company earlier this month after the company's representatives failed to appear in court multiple times,…

"Sooner or later, we're going to see cases of this new variant here in the United States," Biden said in a White House news briefing. The president's remarks came as travel restrictions he had called for on Friday were to take effect for non-citizens entering the United States from South Africa, where the omicron variant was first detected, as well as the African…

The U.S. Attorney's Office, the Department of Justice, the Inspector General's Office of the Department of Health and Human Services and Illinois State Police Medicaid Fraud Control Unit were involved in the investigation. Attorney John Hoelzer and Department of Justice senior trial counsel Laurie Oberembt represented the government during the…

–Milliman, Inc., a premier global consulting and actuarial firm, today released the results of its latest Individual Disability Income Market Survey. "Uncertainty from the COVID-19 pandemic and related product marketing challenges affected new sales growth, and is likely why we saw a decrease in premium in 2020," says Tasha Khan, a principal at Milliman and…

Health plans are expecting 2022 premiums to increase by 5.6% for Group fully-insured plans and by 2.8% for Individual plans. For Group plans, this growth is 0.7 percentage points higher than their expectations for 2021. For Individual plans, growth expectations are higher by 5.0 percentage points.

Los Angeles, CA November 28, 2021—- Half of long-term care insurance claims begin when policyholders are in their 80 s according to data reported today by the American Association for Long-Term Care Insurance. "Millions of Americans are living into their 80 s, 90 s and even 100 s," explains Jesse Slome, director of the long-term care insurance organization.

As we all reel from higher prices on everything from steak to gas to furniture to bedding, here’ s another big-ticket item that you need to think about: health insurance. In its annual survey of costs, Kaiser Family Foundation found that annual premiums for employer-sponsored family health coverage are up 4% from last year,“ with workers on average paying $5,969…

GREENVILLE- For six years, whistleblowers and prosecutors have pursued Daniel McCollum and claims the Upstate chiropractor, through a string of pain-management businesses, made millions defrauding government insurance providers. The U.S. Attorney's Office in South Carolina announced the terms of the settlement on Nov. 22. In 2019, the doors to McCollum's…

This year's end to Medicare open enrollment is nearing and those seniors wanting a Medicare Advantage plan have until Dec. 7 to decide on the plan they want. As those 65 years and older try to decide whether to stick with traditional Medicare or venture into advantage plans, eHealth's recent survey of more than 6,000 Medicare and Medicare Advantage recipients…

After years of funding cuts reduced their presence in Florida to a skeleton crew, the number of trained enrollment counselors hired to help consumers sign up for health insurance coverage under the Affordable Care Act this year has more than tripled in size— giving broader reach to the health law known as Obamacare in a state whose political leaders have been…

A new White House proposal to offer nearly free health insurance to millions of low-income Americans would accomplish the same goal as previous efforts to expand Medicaid in Tennessee but would cut the need for state funding or approval from state lawmakers. Instead, it would cover the same low-income population while sidestepping the primary obstacle…

–Over a year and a half into the COVID-19 pandemic, most Americans agree that it's more important than ever to stay in their home for long-term care. According to the tenth annual Nationwide Retirement Institute ® Long-term Care survey of 1,812 U.S. adults aged 24 or over and 706 caregivers, conducted by The Harris Poll in October 2021, the vast majority of…

NEW YORK- November 16, 2021-. Northwestern Mutual: Many people don't realize what tax implications can come from going on short term disability. Is short term disability taxable?

NEW YORK, N.Y., November 16, 2021 – The Great Resignation has companies of all sizes scrambling to attract and retain talent,…

In Western Pennsylvania, the 2022 market offerings bring more, lower-priced options coupled with enhanced benefits, such as $0 monthly silver-tier plans, virtual-focused plans with $0 telehealth copays and more choices for residents in rural counties. "We're seeing an average of $100 lower premium across the board," said Bill Tuthill, vice president of market…

RUTHERFORDTON- Little did Joellen know that she could be saving $10,000 per year in health insurance costs until she met Claire Kolberg, a navigator for Pisgah Legal Service's Health Justice program, which helps people in Western North Carolina sign up for Affordable Care Act health insurance. But after I spoke with her, I was paying close to $10,000 a year less. "

Unemployed adults in the United States are less likely to undergo recommended cancer screening because they lack health insurance, a survey published Monday by the journal Cancer found. "This suggests that being unemployed at a single point in time may hinder both recent and potentially longer-term screening practices," said Fedewa, a senior principal…

Nov. 3— Pennie and Get Covered NJ— the Affordable Care Act insurance marketplaces run by Pennsylvania and New Jersey— are open for 2022 enrollment with better deals on health plans than previous years. Enrollment has started, and the deadline to sign up in Pennsylvania is Jan. 15. New Jersey residents have until Jan. 31.

Johns Hopkins is terminating its Advantage MD plans for Medicare-eligible Baltimore City residents, forcing over 5,000 seniors to look elsewhere for reduced prescription drug prices and reasonable co-pays during the Covid pandemic. The changes will reduce the service area available for seniors from 12 to 10 Maryland counties Anne Arundel, Baltimore,…

SUMMIT COUNTY, Colo.- Gov. Polis announced the Biden Administration has approved Colorado's health insurance plans for 2022, and outlined how the state's option can save some Coloradans money on their premiums. This concerns the state's reinsurance plan, which works by paying a portion of high-cost claims to allow insurance companies to lower the premiums…

Bright Healthcare, a health insurance provider that entered Tennessee's health exchange market in 2019, is expanding into Chattanooga this year, competing with other health plans offered by BlueCross BlueShield of Tennessee, United Healthcare, Ambetter and Cigna in offering plans for 2022 in the Chattanooga market. "We not only have more providers, but plan…

Wisconsin Governor Tony Evers and Insurance Commissioner Mark Afable recently announced reduced health insurance rates and more health plan options for consumers getting enrolled on the Marketplace for 2022.. This fall, residents in every county in Wisconsin will have the opportunity to choose from more than one health plan option on HealthCare.gov,…

New Orleans- based Ochsner Health System is the first hospital system in Louisiana to create its own health insurance arm selling Medicare Advantage policies. Before rolling out statewide, Ochsner wants to sell plans in the New Orleans and Baton Rouge region, which includes the following parishes: Ascension, East Baton Rouge, East Feliciana, Iberville,…

Starting in January, most workers in Washington will see a 0.58% payroll deduction on their paychecks that will go toward funding the WA Cares Fund, the state's first-in-nation public insurance program which intends to help older residents age in their own homes without having to spend down their savings. Once they opt out they are permanently excluded from…

Georgia's two Democratic U.S. senators said Tuesday they are still working to include a massive Medicaid expansion provision in the Senate's final spending bill. "We are united in this push and to doing everything we can to ensure that our constituents who lack health insurance, have access to health care and to close the circle on the Affordable Care Act by…

Select Star Ratings highlights for Aetna Medicare Advantage plans:. Star Ratings data for 2022 contracts show 76 percent of Aetna MAPD members are currently enrolled in 4.5 Star-rated plans or higher, compared to 54 percent for publicly traded companies. 1 87 percent of Aetna MAPD members are currently enrolled in 4 Star-rated plans or higher. Two Aetna plans…

Oct. 25— EAU CLAIRE— Eight months into her pregnancy, Koreen Holmes learned she had breast cancer. The 32- year-old mom from Eau Claire delivered her baby early— on Jan. 28— and six days later started chemotherapy treatment at the Prevea Cancer Center at HSHS Sacred Heart Hospital in Eau Claire. Koreen's predicament, an obstacle faced by an increasing number of…

CHARLESTON— State and public school employees who get health insurance through West Virginia Public Employees Insurance Agency will enjoy one more year of coverage with no premium increases. “Doom is coming,” West Virginia Education Association President Dale Lee told the board.“ We know that. Fred Albert, president of the American Federation of Teachers— West…

SUMMIT COUNTY, Colo.- Gov. Polis announced the Biden Administration has approved Colorado's health insurance plans for 2022, and outlined how the state's option can save some Coloradans money on their premiums. This concerns the state's reinsurance plan, which works by paying a portion of high-cost claims to allow insurance companies to lower the premiums…

Priority Health in Michigan, for example, offers coverage requiring online visits first for nonemergency primary care. Harvard Pilgrim Health Care, selling to employers in Connecticut, Maine and New Hampshire, has a similar plan. "I would describe them as virtual first, a true telehealth primary care physician replacement product," said Carrie Kincaid, vice…

The monthly cost of health insurance on Colorado's individual marketplace will rise about 1.1% next year, after the effects of the state's backstop program for insurers. The same eight insurers who sold on the individual market this year will do so next year: Anthem, Bright Health, Cigna Health, Denver Health, Friday Health, Kaiser Permanente, Oscar Insurance…

CASPER- A new poll commissioned by four nonprofits shows significant support for Medicaid Expansion in Wyoming, a government health insurance assistance program for those who can't afford insurance and aren't offered it by their employer. The results come one week before a special legislative session and six months after a proposal to expand the health…

The acquisition of a medical record, a crucial part of life underwriting risk-assessment, largely remains largely an inefficient paper process.