Private Medicare, Medicaid Plans Exaggerate In-Network Mental Health Options, Watchdogs Say
(By Tony Leys for KFF Health News) Companies running private Medicare and Medicaid insurance plans inaccurately list many mental health
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DHS-OIG
Medicare Part B Drug Payments: Impact of Price Substitutions Based on 2023 Average Sales Prices
(Source – oig.hhs.gov) Medicare Part B annually spends billions of dollars to cover a limited number of outpatient prescription drugs.
Read MoreFewer than One in Five Medicare Enrollees Received Medication to Treat Their Opioid Use Disorder
(Source – oig.hhs.gov) In 2023, about 53,000 Medicare Part D enrollees experienced an opioid-related overdose. This is the number of
Read MoreMedicare Part D Spending for 10 Selected Diabetes Drugs Totaled $35.8 Billion in 2023, an Increase of 364 Percent From 2019
(Source oig.hhs.gov) There has been a substantial increase in the use of certain diabetes drugs in recent years. Certain diabetes
Read MoreInsurers call OIG Medicare Advantage audit ‘misleading’
(By Rylee Wilson for Becker’s Hospital Review) Groups representing insurers said an audit from HHS’ Office of Inspector General “paints
Read MoreCalifornia to repay $52M spent on Medicaid for noncitizens
(By Rylee Wilson for Becker’s Hospital Review) California improperly used $52.7 million in federal Medicaid funds to pay for nonemergency
Read MoreOIG: 14 states paid managed care organizations $249M for deceased Medicaid enrollees
(By Rylee Wilson for Becker’s Hospital Review) Fourteen states gave managed care organizations payments for Medicaid enrollees for months after
Read More4 recent Medicare Advantage overpayment cases
(By Rylee Wilson for Becker’s Hospital Review) The Cigna Group will pay over $170 million to settle allegations of Medicare
Read MoreMedicare Advantage plans face significant risks of fraud, OIG says
(By Rylee Wilson for Becker’s Hospital Review) Medicare Advantage plans should be aware of fraudsters turning their efforts to private
Read MoreHow Medicare Advantage plans dodged auditors and overcharged taxpayers by millions
(By Fred Schulte and Holly K. Hacker for NPR) In April 2016, government auditors asked a Blue Cross Medicare Advantage
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