Scope-of-practice creep and access to mental health care are among the 57 charges Texas Lt. Gov. Dan Patrick recently issued for Senate committees to study ahead of the 2025 legislative session. The Texas Medical Association’s advocacy for medicine-friendly policy also … Read More
Two months after hackers broke into Change Healthcare systems stealing and then encrypting company data, it’s still unclear how many Americans were impacted by the cyberattack. Last month, Andrew Witty, the CEO of Change Healthcare’s parent company UnitedHealth Group, said … Read More
Arkansas Department of Human Services officials have decided to pull down the procurement for Arkansas Medicaid Dental Managed Care Services, and no contracts will be awarded at this time, a spokesman for the department said Tuesday. “During active negotiations with … Read More
FORT WORTH, Texas — Ever since the age of 10, 14-year-old Vivienne Molen has been in and out of hospital emergency rooms. After suffering a series of health complications, she was diagnosed with Type 1 Diabetes. Molen, who also suffers … Read More
Two new studies released Thursday shed new light on how states are handling the Medicaid unwinding process for adults and children. Using monthly enrollment reports, a Robert Wood Johnson Foundation-funded Urban Institute report found Medicaid and Children’s Health Insurance Program … Read More
A new battle has erupted in the war between the states and the federal government. A Virginia-based federal court last week ruled against states invoking gender-restriction laws to deny Medicaid coverage for some gender-related treatments to transgender residents. If the … Read More
COLUMBIA, S.C. (WIS) – On Wednesday, US Attorney Adair Boroughs announced the formation of the Palmetto Health Care Fraud Task Force (PHCF Task Force), created to combat health care fraud and recover taxpayer money in the District of South Carolina … Read More
CHICAGO , UNITED STATES, May 1, 2024 /EINPresswire.com/ — The global 𝐝𝐞𝐧𝐭𝐚𝐥 𝐢𝐧𝐬𝐮𝐫𝐚𝐧𝐜𝐞 𝐦𝐚𝐫𝐤𝐞𝐭 showcased remarkable growth in 2022, reporting a revenue of 𝐔𝐒$ 𝟏𝟗𝟖.𝟒 𝐛𝐢𝐥𝐥𝐢𝐨𝐧. Market analysts project a significant surge in valuation, estimating it to reach 𝐔𝐒$ 𝟒𝟐𝟓.𝟖 … Read More
Note: This tracker was first published on May 3 and is updated regularly as new data become available. The Medicaid Enrollment and Unwinding Tracker presents the most recent data on monthly Medicaid disenrollments, renewals, overall enrollment and other key indicators … Read More
Millions of Americans on Humana’s Medicare Advantage plans could see their health care benefits cut after the company makes major profit-boosting adjustments to its plans. Humana said it would be ending some plans and cutting benefits for patients in 2025 … Read More
Atlanta, GA, May 01, 2024 (GLOBE NEWSWIRE) — Benevis, a leading dental healthcare and orthodontics delivery organization committed to providing quality care to underserved communities, is proud to announce it will host its ninth annual Sharing Smiles Day on Sunday, … Read More
During the second quarter of fiscal year 2024, the OIG Fraud Hotline received 7,223 contacts alleging fraud, waste or abuse. Of these contacts, 1,288 resulted in referrals for further investigation, including 1,076 involving benefit recipients; 109 involving Medicaid providers; 52 … Read More
Dental care is sometimes an afterthought when it comes to health, but untreated tooth decay can result not just in sore jaws but compromised physical health and lost job opportunities. A report released last week by the Oral Health Transformation … Read More
UnitedHealth Group has confirmed patient data, potentially covering a significant portion of the U.S. population, was compromised in the Change Healthcare cyberattack. The Feb. 21 attack has prevented many dentists from sending electronic claims and attachments to insurance companies to … Read More
Business solutions and services company Conduent launched an artificial intelligence-focused agreement with Microsoft. The partnership, announced in a Monday (April 29) press release, will begin by exploring generative AI use for healthcare claims management, customer service and fraud detection. “Generative … Read More
Dental assistants make an average of $62,760 in Minnesota, the highest-earning state, compared to the state’s average household income of $109,737. Here is how the average annual salary for dental assistants compares to the average household income in each state, … Read More
Manishkumar Patel has pleaded guilty in connection with a $50 million health care fraud and kickback scheme, according to the Justice Department Friday. Patel, alongside a co-conspirator, fraudulently sold prescriptions and doctors’ orders for durable medical equipment, pharmaceuticals, and laboratory … Read More
WASHINGTON (AP) _ The Justice Department announced Friday it is suing the Scooter Store, alleging the company submitted fraudulent claims to government health care programs to obtain reimbursement for power wheelchairs rather than much less expensive power scooters. The New … Read More
Since the expiration of COVID-19-related provisions requiring states to keep residents enrolled in Medicaid, an estimated 2.1 million Texans have lost their coverage. Texas has by far the highest number of uninsured residents in the country and has removed significantly … Read More
Oral health is associated with overall health, especially in older adults (age 65 and older). Chronic conditions in older adults may affect oral health, and poor oral health may increase the risk of certain chronic conditions (1–3). Poor oral health … Read More
AUSTIN (KXAN) — The federal government will require home healthcare companies to pay workers more. The “Ensuring Access to Medicaid Services” rule, finalized by the U.S. Department of Health and Human Services this week, requires at least 80% of Medicaid … Read More
TEXAS — Nearly 2 million women and children will be forced to find a new health insurance plan if Texas Health and Human Services finalizes its current procurement plan that removes some long-standing providers from its Medicaid and children’s health … Read More
Heather Patterson knows the five-hour drive from her home in Odessa to Fort Worth can be hectic. But, she’s willing to make the frequent trip to take her 5-year-old daughter, Emma, to Cook Children’s Medical Center. Emma was diagnosed with … Read More
Since the expiration of COVID-19-related provisions requiring states to keep residents enrolled in Medicaid, an estimated 2.1 million Texans have lost their coverage. Texas has by far the highest number of uninsured in the country and has removed significantly more … Read More
The Centers for Medicare and Medicaid Services (CMS), Texas’ partner in administering Medicaid and Children’s Health Insurance Program (CHIP), released a Final Rule to better streamline the application, eligibility determination, enrollment, and renewal processes it regulates across states and public … Read More
HOUSTON – A judge sentenced a Houston-area mental health clinic owner to prison after prosecutors say she was the ringleader of medical fraud for decades, resulting in millions of dollars. According to the U.S. Attorney’s Office for the Southern District … Read More
To maximize efficiencies in OIG operations, the agency’s Fraud Analytics team develops algorithms that leverage data analytics to fight fraud, waste and abuse in Texas Medicaid delivery. During the second quarter of fiscal year 2024, Fraud Analytics received 182 data … Read More
Another suit involving Medicare fraud on behalf of long-term care facilities was recently settled. The case included sixty nursing homes receiving kickbacks. Four businesses were named as the defendants and all of them agreed to settle and pay the federal … Read More
An orthodontist in Texas, who has been arrested for multiple offenses since 2017, was arrested on April 16 for allegedly sexually assaulting a woman in 2016, according to a story published on KTAB/KRBC. Dr. Victor Lee, of Lee Orthodontics in … Read More
Former Ole Miss football player Joel Rufus French is facing conspiracy charges related to a $70 million Medicare fraud scheme. The 46-year-old made his initial appearance in Oxford last week. The indictment in Florida accuses French of paying kickbacks and … Read More
U.S. and state authorities recently filed a lawsuit in U.S. District Court for the District of Connecticut against two dentists and the practices they operated in Connecticut for allegedly engaging in a Medicaid kickback scheme. The U.S. Attorney’s Office for … Read More
Millions of Americans have been disenrolled from Medicaid plans after the federal government stopped offering continuous coverage to recipients during the pandemic. Altogether, at least 19.6 million Medicaid enrollees were taken off their plans, according to a new Kaiser Family … Read More
The Health and Human Services Department’s inspector general told lawmakers on Tuesday that her office declines investigating “300 to 400 viable fraud cases” involving Medicare and Medicaid each year “because we don’t have the agents to work them.” “We’re struggling … Read More
CHICAGO, April. 14, 2024 — Model legislation officially approved by the National Council of Insurance Legislators (NCOIL) ensures that when enacted by state legislatures, patients with dental insurance will get more value out of their dental plans. The American Dental … Read More
An angered mom revealed that her children were scheduled for surgery that she did not consent to after agreeing to have their school’s dental program clean their teeth. In a TikTok video, Alicia McQueen questioned if she was overreacting after … Read More
Tens of thousands of Texas newborns have been kicked off Medicaid during unwinding so far (image via Getty Images) Ninety-five thousand newborns, twice as many toddlers and preschoolers, and more than 1.3 million Texas children overall have been kicked off … Read More
After a decade of resistance to expanding Medicaid in Mississippi, Medicaid expansion bills have passed both houses with two-thirds majorities, where Magnolia State Republicans have a supermajority in the legislature. While some wrangling about work requirements remains, the state is … Read More
A dentist in Florida is being investigated for his connection to an alleged multimillion-dollar scheme to defraud Medicaid that has been dubbed the “tooth fairy heist,” according to a story published on April 9 by WOKV.com. In South Florida, the … Read More
JUPITER, Fla. (CBS12) — A detox facility owner from Jupiter was sentenced to four years in federal prison for defrauding the Federal Employees Health Benefits Program (FEHBP) of over $4 million to fund his “lavish lifestyle.” The charges were brought … Read More
EL PASO, Texas (KFOX14/CBS4) — Students from the Socorro Independent School District will join dental professionals from the Borderland community for a free dental services workshop at Socorro High School on Friday and Saturday. Students from Socorro ISD’s Dental Health … Read More
