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News
Physical Rehab Company Owner Faked Doctor's Services to Bilk Health Plans
6+ hour, 10+ min ago (344+ words) The owner of physical rehabilitation facilities in New York has been sentenced to 38 months in prison for defrauding taxpayers of over $20 million. Nosson Sklar, a/k/a “Nathan Sklar,” 56, of New York, New York, was sentenced to 38 months in prison…...
Brooklyn Adult Daycare Owner Sentenced to 76 Months in Prison for Leadership Role in $68 Million Medicaid Fraud Scheme
7+ hour, 59+ min ago (265+ words) “Today’s sentencing sends a strong message of deterrence in our District,” stated United States Attorney Nocella. “Our Office and the Justice Department are focused on protecting American taxpayers from fraudsters and as such, we will vigorously prosecute corrupt health care…...
29 Health Systems Dropping Medicare Advantage Plans
4+ day, 12+ hour ago (872+ words) The number of terminated contracts this year is down from 40 in 2025 and 32 in 2024, Becker’s Hospital Review reported on Sept. 4. Naples Comprehensive Health, one of the top 50 U.S. hospitals, will go out of network with Centene’s Wellcare and Health Care Service…...
The Family Cabin Was Worth $180,000 and Nobody Lived There. Medicaid Called It a Countable Asset and the Nursing Home Got It Before the Grandkids Did
13+ hour, 30+ min ago (973+ words) Four generations of family memories are legally invisible to Medicaid, and the moment a grandparent enters a nursing home, that beloved cabin can trigger a financial reckoning most families never saw coming. Medicaid, the state-federal program that pays for long-term…...
Your Advantage Plan's Star Rating Counts Appeals Timing and Members Lost. CMS Just Decided to Drop Both.
13+ hour, 40+ min ago (734+ words) CMS just quietly removed two Medicare Advantage star measures that reveal what happens when your plan says no. Before they vanish from the scorecard, here is what those numbers actually show and how long you have left to use them....
14 Charlotte-Area Nursing Homes Score Just One Star in Federal Ratings
12+ hour, 52+ min ago (106+ words) In Cabarrus County, home to both one-star Copperfield and Cabarrus Health and Rehabilitation Center, adults aged 65 and older make up 13.2 percent of the population, compared to 16.3 percent statewide, according to ElderVoice. The county maintains a higher median household income than…...
His Hospital Closed on 70 Hours' Notice. Whether He Can Leave His Advantage Plan Early Turns on Whether He Was Ever a Patient There.
17+ hour, 36+ min ago (658+ words) Sturgis Hospital closed with barely three days' notice, and now a Medicare Advantage enrollee ten minutes away wants out of his plan before flu season. Whether federal rules give him that exit depends entirely on a single fact most people…...
3 People Convicted of $11M Medicaid Fraud in Virginia
19+ hour, 34+ min ago (514+ words) A federal jury in Richmond convicted three people this week on charges that they defrauded Medicaid out of more than $11 million. The charges relate to billing by their company, Divine Youth Counseling LLC. The three people, 31-year-old twin sisters E’mon and…...
Dana-Farber Is Leaving a Medicare Advantage Network Oct. 1. Cancer Patients Face a Dec. 7 Decision About Their 2027 Care
19+ hour, 39+ min ago (584+ words) Most cancer patients facing a Medicare Advantage network change will watch the wrong deadline and pay for it. The date that actually protects your 2027 coverage sits weeks before the one everyone assumes. The Full Benefits Desk desk. Editor: Gerelyn Terzo....
Journalists Detail Data on Suicide, Primary Care Shortages, and Gun Violence
20+ hour, 10+ min ago (137+ words) KFF Health News journalists made the rounds on national and local media recently to discuss topical stories. Here’s a collection of their appearances. Journalists Detail Data on Suicide, Primary Care Shortages, and Gun Violence KFF Health News senior correspondent Aneri…...