Category: Medicare

Cost of Insulin Declines

According to the American Diabetes Association, the inflation-adjusted cost of insulin increased 24% from 2017 to 2022. The expense leads many to ration their medication, which can have disastrous and even fatal consequences. Thanks to 2022’s Inflation Reduction Act, the cost of insulin continues to decline. Biden’s legislation included limiting the cost of insulin for Medicare

Access to Care

Medicare is a popular and successful government program. Improvement is needed based on the report published in Neurology. Nearly 20% of people on Medicare must travel 50 or more miles to see their neurologists. This is too far for many. People with brain cancer, amyotrophic lateral sclerosis (ALS) and multiple sclerosis (MS) travel the long

Ownership Transparency

For-profit corporations own 70% of nursing homes. Most place profit over patients. Oversight of the nation’s 15,000-plus nursing homes is “in crisis,” with facilities long overdue for routine inspections despite increased complaints of abuse and neglect. Last month, the Attorneys General of 18 different states sent a letter in support of a proposed rule that would

Health Care Fraud

A grand jury indicted Kevin Breslin and KBWB Operations, LLC, doing business as Atrium Health and Senior Living (Atrium) with a scheme to defraud Medicare and Medicaid. The indictment alleges that the scheme operated from January 2015 to September 2018. The indictment charges the defendants with health care fraud, wire fraud, mail fraud, tax fraud,

Will Esformes Pay?

Will Justice be done? McKnight’s reported that a ruling in the 11th U.S. Circuit Court of Appeals found against Philip Esformes. In 2019, a jury found Esformes guilty of bribing physicians for illegal referrals and inappropriate collection of payment from 1998 to 2016 for services that were either unnecessary or not performed. The DOJ convicted Esformes of

Transparency Needed

MACPAC is a non-partisan legislative branch agency that provides policy and data analysis. Their purpose is to make reasonable nonpartisan recommendations to Congress on Medicaid programs. They issued a report finding that without increased transparency in how nursing homes spend Medicaid dollars, it could not determine the actual costs of providing care. MACPAC was not

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