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Centene to Pay $166 Million to Texas in Medicaid Drug Pricing Settlement

Centene to Pay $166 Million to Texas in Medicaid Drug Pricing Settlement

by Advize Admin | Sep 23, 2022 | FWA, Healthcare

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...
Come Fly With Me: Heard It Through the Grapevine

Come Fly With Me: Heard It Through the Grapevine

by Advize Admin | Aug 5, 2022 | Commentary, FWA

This week our very own Eric Rubenstein, Sr. Director of FWA and I, flew out to Dallas to present to the Texas Office of the Attorney General Medicaid Fraud Control Unit.  The topic was for auditors and was Data Analytics for the Analyst.  They shared...
They Thought They Were Buying Obamacare Plans. What They Got Wasn’t Insurance.

They Thought They Were Buying Obamacare Plans. What They Got Wasn’t Insurance.

by Advize Admin | Jun 10, 2022 | Healthcare, Technology

Tina Passione needed health insurance in a hurry in December. The newly retired 63-year-old was relocating to suburban Atlanta with her husband to be closer to grandchildren. Their house in Pittsburgh flew off the market, and they had six weeks to move out 40 years of...
Ripple Effects of Abortion Restrictions Confuse Care for Miscarriages

Ripple Effects of Abortion Restrictions Confuse Care for Miscarriages

by Advize Admin | May 13, 2022 | Healthcare

As the Supreme Court appears poised to return abortion regulation to the states, recent experience in Texas illustrates that medical care for miscarriages and dangerous ectopic pregnancies would also be threatened if restrictions become more widespread. One Texas...
What’s Next if ‘Roe v. Wade’ Falls? More Than Half of States Expected to Ban or Restrict Abortion

What’s Next if ‘Roe v. Wade’ Falls? More Than Half of States Expected to Ban or Restrict Abortion

by Advize Admin | May 6, 2022 | Healthcare

If the Supreme Court’s conservative majority affirms the leaked decision overturning abortion rights in the U.S., the effects would be sweeping for 40 million women in more than two dozen states where Republican-led legislatures have been eagerly awaiting the...

Split Supreme Court Leaves Texas Abortion Law in Effect, but Says Providers May Sue

by Advize Admin | Dec 10, 2021 | Healthcare

In the second-most anticipated abortion case of the year, eight justices on the U.S. Supreme Court ruled Friday that abortion providers can challenge a Texas law that has effectively banned most abortions in the state since it was allowed to take effect in September....

Retro Fraud Podcast Episode 3: Healthcare Attorney Matt Lawhon

by Advize Admin | Aug 13, 2021 | Retro Fraud Podcast

In episode 3 of the Retro Fraud Podcast, Eric engages in a really interesting case discussion with Matt Lawhon. Matt, who is currently a healthcare attorney in the Dallas area (M B Lawhon Law Firm, PLLC), spent a number of years both as an investigator for a Medicare...

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