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Kayla Levy, Patch Staff. Posted Wed, Apr 27, 2022 at 1:18 pm ET | Updated Wed, Apr 27, 2022 at 1:23 pm ET. Dr. Josef Schenker agreed to pay $564,217.70 to resolve claims that he charged...
QUEENS — Two pharmacy owners, including a man with operations in Flushing, were charged after submitting false claims to Medicare and Medicaid to launder the proceeds, prosecutors said.
The new Medicare Advantage Plus Plan has for months raised concerns from the NYC Organization of Public Service Retirees, a group of ex-municipal workers who fear it could water down their...
Despite the financial penalty, 45,646 retirees have declined the Advantage plan in favor of staying on Senior Care, according to data provided to the Daily News by City Hall.
NEW YORK — A healthcare company with outposts in New York City and Long Island stands accused of subjecting elderly patients to painful procedures they didn't need as part of a scheme to...
'Deny, deny, deny': By rejecting claims, Medicare Advantage plans threaten rural hospitals and patients, CEOs sayaol.com- How a 'complex' Medicare Advantage market left Humana scrambling to start 2024aol.com
- Many retirees aren't prepared for how Medicare costs 'can add up'aol.com
- Medicare enrollees warned about deceptive marketing schemesaol.com
In 2023, the UFT sued New York City for school cuts. In 2023, the UFT negotiated with the City for a plan that would move UFT retirees and other retired New York City workers from traditional Medicare into a new, privately run Medicare Advantage plan. Large numbers of UFT retirees have complained about the proposed plan.
In total, Greene billed $20,135 in false claims, for which Medicare reimbursed General Medicine $10,031. Greene’s personal share was $5,220, according to the court records.
Medicare Advantage ( Medicare Part C, MA) is a type of health plan offered by Medicare-approved private companies that must follow rules set by Medicare. Most Medicare Advantage Plans include drug coverage (Part D). Under Part C, Medicare pays a sponsor a fixed payment. The sponsor then pays for the health care expenses of enrollees.
GREAT NECK, NY — A doctor from Great Neck pleaded guilty Monday in a health care fraud case that cost the U.S. government millions of dollars. Morris Barnard, 58, billed Medicare more than $3...
In January 2024, Elevance Health filed a lawsuit with the Department of Health and Human Services (HHS) challenging changes in the Medicare Advantage star rating methodology. Star ratings are tied to key bonus payouts, and due to the new rating system in 2024 ratings have significantly decreased.