Local podiatry office manager charged with Medicaid fraud
According to a federal complaint, the woman submitted $556,797 in false claims to Medicaid for portable medical devices known as oximeters and wired the money to her personal bank account.
Medicaid
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Federal judge triples damages to $183M against Lilly in whistleblower suit
A judge ruled that Indianapolis-based Lilly was liable for higher payments due to its behavior in making false statements to the Centers for Medicare and Medicaid Services about the prices it charged distributors for its drugs.
What GOP’s plan for Medicaid work requirements would mean
More than a half million of the poorest Americans could be left without health insurance under legislation passed by House Republicans that would require people to work in exchange for health care coverage through Medicaid.
Health care bills aim to reform insurance, Medicaid reimbursement rates
A slew of health care bills moving through the legislature target high prices for Hoosiers by encouraging competition and restructuring how the state pays for services under Medicaid.
Millions who rely on Medicaid might be booted from program
As states begin checking everyone’s eligibility for Medicaid for the first time in three years, as many as 14 million people could lose access to that coverage.
Federal omnibus bill sets end date for continuous Medicaid coverage
During the pandemic, anyone who qualified for Medicaid at any point would keep their coverage, even if their financial circumstances changed for the better.
Activists, mayor, councillors push HHC to drop Medicaid suit
The Health and Hospital Corp. of Marion County is a defendant in a lawsuit that some worry would impact any Medicaid beneficiary receiving care in a government-owned facility.
Indiana case at U.S. Supreme Court could affect millions of Americans
Advocates for the elderly, poor and people with disabilities say the legal challenge could severely threaten federal benefit programs, like Medicaid.
Jury orders Lilly to pay $61M in whistleblower Medicaid fraud case
The cost to Indianapolis-based Eli Lilly and Co. would reach more than $183 million because cases brought under the False Claims Act triple the final judgment. Lilly said it plans to appeal and is confident that it will prevail.
Hospitals face big fines for frequent readmissions
For the 10th straight year, the Centers for Medicare & Medicaid Services is using the pressure of lower reimbursements to get hospitals to improve their numbers and cut down on the revolving door of readmissions.
Federal agency blocks Indiana’s Medicaid work requirements
Indiana’s plan aimed to require those who don’t qualify for exemptions to report 20 hours a month of work or related activity, or face coverage loss.
Medicaid enrollment swells during pandemic, reaching new high
From February 2020 through January, Medicaid enrollment climbed nationwide by 9.7 million, according to a report based on the most recent available data.
Study: Walmart, McDonald’s have most workers on food stamps, Medicaid
A sizable number of the recipients of federal aid programs such as Medicaid and food stamps are employed by some of the biggest and more profitable companies in the United States.
Dem report says Medicare chief Verma used fed money to bolster image
A Health and Human Services Department official called the report on Seema Verma a “political smear” by “far left politicians.” Before she headed to Washington, Verma was a consultant to former Gov. Mike Pence and designed the Healthy Indiana Plan.
Indiana spent more than $1 million on dead Medicaid patients, feds say
Indiana’s Medicaid director said the state will recover the payments and return the federal share of more than $800,000. The feds say the problem occurred because Indiana did not enter dead beneficiaries’ information in a federal data bank.
Trump’s $4.8 trillion budget proposal revisits rejected cuts
The president unveiled an election year budget plan on Monday that recycles previously rejected cuts to domestic programs like food stamps and Medicaid to promise a balanced budget in 15 years—while leaving Social Security and Medicare benefits untouched.
Medicaid changes could have big state impact
The Trump administration has announced it would allow states to add eligibility requirements, benefit changes and drug-coverage limits, which could limit what the government will spend for certain enrollees.
Indiana suspends work requirement for Medicaid until lawsuit is resolved
Starting in July, Indiana began requiring people to work, volunteer or participate in other qualifying activities as a condition for receiving medical benefits under the Healthy Indiana Plan, the state’s biggest Medicaid program.
Trump, Pelosi still working on drug-pricing deal despite impeachment drama
President Donald Trump and House Speaker Nancy Pelosi could hardly be more at odds—but behind the scenes, they’re still grasping at a bipartisan deal to lower the cost of prescription drugs.
Indiana creates Medicaid work rules for low-income Hoosiers
Indiana has become the latest state to implement work requirements for low-income residents who receive their health insurance through Medicaid— a change that opponents warn will cost some under-resourced Hoosiers their health coverage.