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The Latest Breaking News from CMS

Medicare Advantage plans overcharged government hundreds of millions but get to hang onto the money

The federal Medicare agency will require next to nothing from insurers for excess payments they got from 2011 to 2017 and won’t impose big penalties until audits for 2018 and beyond are conducted, which could be years.

Chicago Sun-Times

Commentary: We shouldn’t get caught up in the hype over new Alzheimer’s drug

This month, the Food and Drug Administration approved a new drug, lecanemab, for the treatment of Alzheimer’s disease. The drug, sold under the brand name Leqembi, was developed by Japanese pharmaceutical company Eisai and will be marketed commercially in partnership with American pharmaceutical company Biogen. Biogen, notably, is the maker…

Chicago Tribune

Did your health plan rip off Medicare?

Previously secret government audits reveal millions of dollars in overpayments to Medicare Advantage health plans

Salon

From analysis to the latest developments in health,
read the most diverse news in one place.

Energy transition presents Scotland's 'most significant' challenges and opportunities

Panel of experts at Insider breakfast event states that existing oil and gas industry must be supported in move to renewables

Insider UK

Commentary: Too soon to celebrate new Alzheimer’s drug

A treatment that improves Alzheimer’s disease would be a great advance, but Leqembi (lecanemab), which recently received accelerated approval from the FDA, is not that drug. Yes, lecanemab slows decline to an extent detectable on a test, but not to an extent that a relative or caretaker would notice. This…

Tribune News Service

Feds to investigate nursing home abuse of antipsychotics

The federal government says it will begin a targeted crackdown on nursing homes’ abuse of antipsychotic drugs and misdiagnoses of schizophrenia in patients

The Independent UK

'No dominant model' for hybrid work has yet emerged

A new survey of the financial and professional services sector finds most firms are not enforcing minimum number of office days

Insider UK

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New child maintenance laws to protect domestic abuse survivors

The measures are aimed at stopping perpetrators from using child maintenance as a form of ongoing financial abuse and control

Wales Online

New measures to support domestic abuse survivors make child maintenance claims

The Independent UK

Illinois Medicaid contractor Centene Corp. under federal scrutiny over foster kids’ medical care

An Illinois Answers Project investigation found that the insurance giant fell short in providing basic care. Now, federal officials want answers from state agencies overseeing the program.

Chicago Sun-Times

FDA grants fast-track approval to experimental Alzheimer's drug

The FDA approved lecanemab, which has shown to slow the progression of Alzheimer's disease.

Axios

Providers say Medicare Advantage hinders new methadone benefit

In 2018, responding to a wave of overdose deaths, Congress passed legislation requiring Medicare to pay for services at opioid treatment programs for the first time.

Tribune News Service

Providers say Medicare Advantage hinders new methadone benefit

A new benefit aimed at helping treat opioid use disorder can be hard to access for those who use Medicare Advantage plans, advocates say.

Roll Call

Recruitment Of Maoist Cadres: NIA Files Chargesheet Against 5 Persons

The National Investigation Agency (NIA) has filed a charge sheet against five persons in a case linked to the radicalization and recruitment of innocent youth into the Communist Party of India (Maoist). Read on for details:

Dynamite News

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Salon

Did Medicare Advantage plans overcharge?

Some Medicare Advantage plans failed to produce any records to justify their payments, government records show

Tribune News Service

How Medicare Advantage plans dodged auditors and overcharged taxpayers by millions

In April 2016, government auditors asked a Blue Cross Medicare Advantage health plan in Minnesota to turn over medical records of patients treated by a podiatry practice whose owner had been indicted for fraud.

Chicago Sun-Times

Medicare Advantage health plans dodged auditors, overcharged taxpayers millions

A review of 90 government audits reveals the plans have repeatedly tried to get around mandates to document medical conditions the government paid them to treat.

Salon

The Medicare Advantage plan scandal

Health insurers that issue Medicare Advantage plans have repeatedly tried to sidestep regulations, audits find

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WEKU

How Medicare Advantage plans dodged auditors and overcharged taxpayers by millions

A KHN investigation found when some Medicare Advantage plans got a rare federal audit, they couldn't produce billing records for care they said they'd provided. Some blamed fire, flood — or doctors.

Tribune News Service

Pagan nurse files religious discrimination lawsuit

LAS VEGAS — A Las Vegas nurse and self-described pagan has sued the hospital that fired her after it rejected her request for a religious exemption to its COVID-19 vaccination requirement.

Tribune News Service

Older adults face Medicare hurdles for substance use treatment

For the staff at the Senior Recovery Center in Maplewood, Minnesota, helping older adults overcome substance use disorders is a calling, said Christine Martinek, a licensed alcohol and drug counselor there.

Insider UK

More panellists revealed for Insider's Business Breakfast

The event in January will feature a keynote speech, panel discussion and Q&A session

Axios

New Alzheimer's drug faces uncertain regulatory path

The FDA will soon decide whether to approve Eisai's experimental drug lecanemab.

Roll Call

Older adults face Medicare hurdles for substance use treatment - Roll Call

Only 6 percent of Medicare beneficiaries 65 and up reporting alcohol or substance use disorder received treatment, according to research.

Ballotpedia

Republican attorneys general file petition to repeal vaccine mandate for healthcare workers

Twenty-two attorneys general filed a petition on November 17, 2022, requesting the Biden administration to repeal the vaccine mandate for healthcare workers. The Centers for Medicare and Medicaid Services (CMS) issued an interim final rule on November 5, 2021, requiring healthcare workers to receive the COVID-19 vaccine. The interim rule…

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