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Category Archives: Healthcare

Minnesota Hospital to Pay U.S. to Resolve Allegations of False Claims Involving Unnecessary Admissions

“Hospitals and doctors have a responsibility to provide patients with reasonable and necessary care. When they neglect those obligations, patients and taxpayers suffer

Former Owners of Medical Equipment Company Sentenced to Prison for Defrauding Medicare in Wheelchair Scam

At a hearing this morning, U.S. District Judge Ewing Werlein Jr. sentenced Amudat Williams, 54, and his spouse and co-defendant Sunday Adebisi to 44 months each in federal prison without parole and ordered them to jointly to pay $2,190,772 in restitution to Medicare. Williams and Adebisi, both of Houston, were convicted after pleading guilty on Dec. 18, 2008, to conspiracy to commit health care fraud and receiving kickbacks. During today’s proceedings, Judge Werlein further ordered that neither Williams nor Adebisi were to have any involvement with the operation of a business that submits claims to the Medicare program.

Justice Department Recovers $2.4 Billion in False Claims Cases in Fiscal Year 2009; More Than $24 Billion Since 1986

“Rooting out fraud and safeguarding taxpayers from illegal conduct are among the Justice Department’s highest priorities,” said Tony West, the Assistant Attorney General for the Civil Division. “I applaud the dedication of the public servants who investigate and prosecute fraud, and the courage of the many private citizens who risk their careers by reporting fraud.”

PacifiCare with more than 100,000 violations of Law In Processing Health-Insurance Claims

I am pleased that this distraction is over and the Department of Insurance can return to the serious business of enforcing the law,” said Commissioner Poizner. “PacifiCare faces serious charges, brought after an unprecedented flood of complaints from doctors and consumers.”

Dennis Kucinich Wants Single Pay System

“Notwithstanding the fate of H.R. 3962, America will someday come to recognize the broad social and economic benefits of a not-for-profit, single-payer health care system, which is good for the American people and good for America’s businesses, with of course the notable exceptions being insurance and pharmaceuticals.”

Historic Vote in House; Great Victory For the American People

I suffer no illusions that this will be an easy process. It will be hard. But I also know that nearly a century after Teddy Roosevelt first called for reform, the cost of our health care has weighed down our economy and the conscience of our nation long enough. So let there be no doubt: health care reform cannot wait, it must not wait, and it will not wait another year.”

Affordable Health Care for America Act H.R. 3962

Establishes standards for qualified health benefits plans, including standards to: (1) prohibit any preexisting condition exclusions; (2) require guaranteed availability and renewability of health insurance coverage; (3) limit premium variances, except for reasons of age, area, or family enrollment; (4) prohibit discrimination based on health status factors; and (5) require parity for mental health benefits.

Requires qualified health benefits plans to provide coverage that meets the standards for the essential benefits package. Prohibits an essential benefits package from imposing any annual or lifetime limits on coverage. Lists required covered services, including hospitalization, prescription drugs, mental health services, maternity care, and children’s oral health, vision, and hearing services. Prohibits cost-sharing for preventive items and services. Limits annual cost-sharing to $5,000 for an individual and $10,000 for a family. Prohibits abortion services from being required under an essential benefits package or under a qualified health benefits plan.

MIT Analysis Confirms That H.R. 3962 Will Deliver Substantial Savings

“This analysis confirms that the House Democratic health care legislation will lower premiums for individuals and families who purchase insurance in the Exchange,” said Chairman Henry A. Waxman, Chairman Charles B. Rangel, and Chairman George Miller. “The individual health care market is the part of the health care system that is most dysfunctional today. The Affordable Health Care for America Act will reform that market in a way that will reduce premiums.”

Medicare Physician Payment Reform Act of 2009

Republican cry over healthcare reform bill and mandates imposed on insurance companies.

Get the facts on healthcare with Reality Check.

Whitehouse sets the recod straight. Reality Check! The Congressional Budget Office and other analysts confirm that the current Senate Finance Committee (SFC) health reform proposal will lower health care premiums in the exchange and make health insurance more affordable for families. AHIP’s study reaches its flawed conclusion for at least three reasons: