(The Center Square) – The federal government and the state of Illinois have filed a joint complaint alleging that a Chicago-area medical practice and billing company knowingly submitted fraudulent claims to Medicaid and Medicare, resulting in the payment of more than $5.2 million in false claims.

Last week marked the 61st anniversary of Medicare and Medicaid, and with so many dire threats to both health care programs, we would do well to reflect on their history and the promises delivered to millions of Americans since they were signed into law six decades ago in Independence, Missouri.   On July 30, 1965, President […]

“Analyses show that administrative overhead, insurer profit margins, and PBM-related practices account for a significant share of premium spending. Roughly 16 cents of every premium dollar goes to profits and administrative costs, making overhead the second-largest category of premium spending.” — Rep. Carol Miller, R-W.Va. I agree 100% with Rep. Carol Miller. What I do […]

(The Center Square) – A Biden-era health care subsidy under Medicare Part D will no longer be available in 2027, the Trump administration announced, as the costs of the prescription drug coverage plan continue to rise rapidly.

A proposed federal rule stemming from the reconciliation bill Congress passed last summer includes additional policy changes that would reduce Medicaid payments to healthcare facilities, a step hospital chains warn exceeds the provision Congress approved and President Donald Trump signed.  Public comment closed this week on a rule proposed by the Centers for Medicare and […]

(Carolina Journal) – For North Carolina's older workers and retirees in the State Health Plan, rates on the Medicare Advantage plans will increase, the Board of Trustees says.