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Justice Department Targets Data Mining in Medicare Advantage Fraud Case

by Advize Admin | Sep 17, 2021 | Healthcare

The Justice Department has accused an upstate New York health insurance plan for seniors and its medical analytics company of cheating the government out of tens of millions of dollars. The civil complaint of fraud, filed late Monday, is the first by the federal...

Colorado Clinic’s Prescription for Healthier Patients? Lawyers

by Advize Admin | Sep 10, 2021 | Healthcare

COMMERCE CITY, Colo. — In her 19 years of living with cerebral palsy, scoliosis and other ailments, Cynthia Enriquez De Santiago has endured about 60 surgeries and her heart has flatlined at least four times. But the most unusual doctor’s referral of her life came...

Lack of a Vaccine Mandate Becomes Competitive Advantage in Hospital Staffing Wars

by Advize Admin | Sep 3, 2021 | Healthcare

In the rural northeastern corner of Missouri, Scotland County Hospital has been so low on staff that it sometimes had to turn away patients amid a surge in covid-19 cases. The national covid staffing crunch means CEO Dr. Randy Tobler has hired more travel nurses to...

Telehealth’s Limits: Battle Over State Lines and Licensing Threatens Patients’ Options

by Advize Admin | Sep 3, 2021 | Healthcare

If you live in one state, does it matter that the doctor treating you online is in another? Surprisingly, the answer is yes, and the ability to conduct certain virtual appointments may be nearing an end. Televisits for medical care took off during the worst days of...

After Pandemic Ravaged Nursing Homes, New Laws Protect Residents

by Advize Admin | Aug 20, 2021 | FWA, Healthcare

When the coronavirus hit Martha Leland’s Connecticut nursing home last year, she and dozens of other residents contracted the disease while the facility was on lockdown. Twenty-eight residents died, including her roommate. “The impact of not having friends and family...

Injuries Mount as Sales Reps for Device Makers Cozy Up to Surgeons

by Advize Admin | Aug 13, 2021 | FWA, Healthcare

Cristina Martinez’s spinal operation in Houston was expected to be routine. But after destabilizing her spine, the surgeon discovered the implant he was ready to put in her back was larger than he wanted to use — and the device company’s sales rep didn’t have a...

National Academies’ Report Took Pharma-Friendly Stance After Millions in Gifts From Drugmakers

by Advize Admin | Aug 13, 2021 | Healthcare

To several U.S. senators, it looked wasteful, even outrageous. Every year, taxpayers pay for at least $750 million worth of expensive pharmaceuticals that are simply thrown away. Companies ship many of the drugs in “Costco”-size vials, one lawmaker said, that once...

A Health Care Giant Sold Off Dozens of Hospitals — But Continued Suing Patients

by Advize Admin | Aug 6, 2021 | Healthcare

Tennova Healthcare-Lebanon doesn’t exist anymore as a hospital. But it still sued Hope Cantwell. A knock came on the door of Cantwell’s Nashville, Tennessee, apartment early this year. She said she hadn’t been vaccinated against covid-19 yet and wasn’t answering the...

Pfizer Court Fight Could Legalize Medicare Copays and Unleash ‘Gold Rush’ in Sales

by Advize Admin | Jul 30, 2021 | Healthcare

Three years ago, pharma giant Pfizer paid $24 million to settle federal allegations that it was paying kickbacks and inflating sales by reimbursing Medicare patients for out-of-pocket medication costs. By making prohibitively expensive medicine essentially...

A Chilling Cure: Facing Killer Heat, ERs Use Body Bags to Save Lives

by Advize Admin | Jul 23, 2021 | Healthcare, Providers

By JoNel Aleccia As a deadly heat wave scorched the Pacific Northwest last month, overwhelming hospital emergency rooms in a region unaccustomed to triple-digit temperatures, doctors resorted to a grim but practical tool to save lives: human body bags filled with ice...
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