Angioplasties in California: What Do They Say About Health Costs?
Lisa Riordan Seville
Data mining has shown huge variations by region in the frequency of some health procedures. What does this tell us about heath-care costs?
Tag: fraud
Lisa Riordan Seville The day: Fraud, lower premiums, the uninsured, rising costs
Jeanne Pinder
Fraud in health-care billing is the topic of Professor Terry Leap’s new book, “Phantom Billing, Fake Prescriptions and the High Cost of Medicine: Health Care Fraud and What to Do About It.” A conversation over at thecrimereport.org. HHS to Reduce Premiums, Make it Easier for Americans with Pre-Existing Conditions to Get Health Insurance. New regulations. […]
Waste and fraud in Medicare
Jeanne Pinder
It’s an article of faith that one of the biggest sources of health-care cost abuses is Medicare. The government pays bills for the elderly under this system, and it’s widely regarded as fraud-ridden and inefficient. So it was no particular surprise to read the other day that Medicare recovery audit contractors have returned $237.8 million […]
Health cost fraud: The Most Wanted
Jeanne Pinder
Filed Under: Costs, Health plans
This is for real: a Web site from the Health and Human Services Department showing the most wanted fugitives committing Medicare and Medicaid fraud. For example: “Carlos, Luis, and Jose Benitez, commonly referred to as the Benitez brothers, allegedly schemed to submit false and fraudulent claims to Medicare, pocketing approximately $110 million from Medicare, according […]
Costs, fraud-busting and consolidation
Jeanne Pinder
From the news: An appendectomy in Texas can cost as little as $1,747.35 at Providence Memorial Hospital in El Paso, or as much as $7,335.94 at Lake Pointe Medical Center in Rowlett, according to an interactive tool posted by The Texas Tribune. The Tribune used public data from Medicaid, the joint state-federal health care program […]