8legs: Medicaid

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#1 out of 3

crime12h ago

Dr. Mehmet Oz claims there are 42 hospices within a four-block radius in Van Nuys, Los Angeles.
Oz links Armenian-owned facilities to a multibillion-dollar hospice and home-care fraud scheme.
Governor Gavin Newsom pushed back, saying the claims attack Armenian-owned businesses and misstate fraud scope.
Newsom pointed to past state actions that banned new hospices and revoked licenses to curb fraud.
Oz asserted the Trump administration will not tolerate hospice fraud, citing a crackdown.
Newsom’s office said the allegations are being reviewed amid concerns about hate and targeting Armenian-owned businesses.
The article notes ongoing federal focus on healthcare fraud in California, with few new cases disclosed.
The report emphasizes a clash between political figures over how to address alleged hospice fraud.
The piece situates the claims within a broader narrative of regulating hospice and home-care fraud.

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#2 out of 3

The Boston Health Care for the Homeless Program faces internal turmoil linked to looming Medicaid and MassHealth funding cuts.
A former medical director says the program plays an essential role serving unhoused people in the Boston area.
The author notes the program’s dedication and the author’s own past leadership experience with similar budget pressures.
The Commonwealth is praised for supporting health care and vulnerable populations, with hope for continued funding.
The article frames staff turnover and financial strain as indicators of broader funding uncertainty for nonprofit health centers.
The piece emphasizes the need to protect services for the unhoused amid fiscal pressures.
The column references a recent leadership change as part of the broader discord.
The author speaks from a personal history in nonprofit health care to contextualize current events.
The author condemns the nation’s inability to fully fund health care for all citizens.
The column calls for continued political and financial commitments to protect vulnerable populations.

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#3 out of 3100.00%

CMS proposes flat 2027 Medicare Advantage rates and new payment changes, prompting industry pushback.
CMS would restrict chart reviews that add diagnoses to patient records to boost payments.
Kaiser Permanente settlement cited as evidence overpayments through chart reviews.
Experts say chart reviews have driven billions in overpayments for more than a decade.
Industry warns that holding rates flat could lead to benefit cuts for seniors.
CMS says the changes aim to ensure more accurate payments and protect taxpayers.
Government auditors have repeatedly found chart reviews add diagnoses, not delete.
Medicare Advantage enrollment has grown to about 34 million members.
Lawmakers warn about potential senior benefit reductions if rates stay flat.
CMS plans to issue a final decision on rates and provisions by early April.

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