Just as Every cop is a Criminal…

….and all the sinners saints. Yup, I love that Stones song too.  Arguably one of the best rock bands ever, The Rolling Stones came from London which is where the doctor on my mind practiced his career in oncology at The Royal Marsden and then St...

Advize Interviews Jared Walker of Dollar For

What’s going on with Jared and Dollar For? Advize’s own Eric Rubenstein (Retro Fraud, Coffee Compliance & Chuckleheads) catches up with Jared Walker of Dollar For, the non-profit on a mission to crush medical bills for those in need. Related links:...

My Covid Test Was Free, Wasn’t Yours?

We are obsessed with the cost of healthcare and the many disparities between the same service costing different amounts.  The wannabe economics major that I am makes me think about a couple of interesting concepts that seem to be very weird when it comes to...

OIG Files: Health Plans, Cherry Picking & Lemon Dropping

When I was first hired as an OIG Agent, I was told by numerous people that fraud in the Medicare Advantage (MA) world was difficult to commit, and ever more difficult to prove. To put it into context, it was the mid-1990s, and MA plans were not where they are...