Health insurance giant Centene Corp. has agreed to pay $165.6 million to Texas to resolve claims that it overcharged the state’s Medicaid program for pharmacy services. It’s the biggest known payout by the nation’s largest Medicaid insurer over its drug pricing...
Kicked off this week of travel in Orlando on Friday, Long Island Sunday, St. Louis Monday, Oklahoma City Tuesday, NYC Wednesday and Buffalo Thursday. It was a great week. Here is the quick rundown. Planes were great except for the one I missed...
Eric Rubenstein and I shared our thoughts on a panel last week moderated by Hema Saxena (Schellman) and were joined by other experts: Ian Johnson (Losey PLLC); Richard Ryan, CDPSE, CGEIT, CIPP/US, CISA, CISSP, PCIP (Conduent); and Mesha...
This week’s topic is patient advocacy. As the season of enrollment is upon us, we think about what makes this difficult-to-understand process easier for everyone. Google could potentially be making it easier for enrolling in Medicare and/or Medicaid. ...
We are back. Last week we took a break from Come Fly With Me because we wanted to honor 9/11. If you missed our personal tribute to those on our team who were involved with 9/11 please take a moment to read it now. Where did I go in the meantime? West...
Open enrollment will be upon us in the coming month. With it will come a slew of fraud complaints as it relates to managed care enrollment. Brokers work to enroll eligible members into plans that are supposed to be the best suited for the member. ...
At Advize, we are lucky to work with heroic people from nurses to law enforcement. This time of year is always bittersweet for our colleagues who were first responders of 9/11. We honor those on our team and beyond Advize who gave everything for this...
Boca Raton Chiropractor Sentenced To Four Years’ Imprisonment For $20 Million Health Care Fraud Scheme Straw ownership is a huge challenge in healthcare fraud investigations. The creation of shell companies and nominal owners obscures the true ownership and thus, the...
My Thursday started in Philly then Maryland, DC, Atlanta for a quick layover and then ended in Orlando. What a day! The highlight of that 5 city day was going back to Maryland again this week but only this time, the area was Fort Washington and some of the...
Peggy Dula was driving two of her siblings on an unfamiliar road in Illinois when she pulled into an intersection and crashed into a truck. All three were taken to a nearby hospital, and though Peggy was the least injured, her ambulance bill was almost three times her...
Recent Comments