Category: Medicare

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

Medicare Fraud

Michael Lonski is a licensed psychologist. Lonski submitted charges for residents of skilled nursing facilities. He was previously excluded from the Medicare program over fraud allegations. In 2002, Lonski settled a federal lawsuit in New York alleging healthcare fraud offenses. Now, he has again pleaded guilty to new charges that he bilked the government out

Medicare Fraud Settlement

“Focusing on profits over the needs of individual patients violates the public trust and creates a potential for harm of some of the most vulnerable among us.” –U.S. Attorney Jacqueline C. Romero said. The Philadelphia Inquirer reported the Medicare fraud case settled in Pennsylvania. Saunders House nursing home agreed to pay $819,000 to settle allegations

Biden in SC

President Joe Biden signed the Inflation Reduction Act into law. The cost of drugs will be capped at $2,000 per year for people on Medicare; and health care premiums will fall for many Americans. And it reduces the deficit! Biden passed the American Rescue Plan, the Bipartisan Infrastructure Law, the CHIPS and Science Act, and

Health Care Fraud

“Health care fraud is not a victimless crime, because fraudulent billing ultimately affects consumers who must pay the cost of higher insurance premiums.” -United States Attorney Peace. The Department of Justice’s press release discussed a federal jury on Long Island returned a guilty verdict on eight counts of charges against Mathew James. He perpetrated a

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