Medicare

Court Rejects Appeal In Medicare Advantage Dispute

Jul 20, 2017

An appeals court Wednesday rejected arguments that an arbitrator could have been biased in a dispute involving an insurance firm's attempt to receive $24 million in damages from UnitedHealthcare.

FL-Based Medicare Plans Pay $32M To Settle Charges

May 31, 2017

Two Tampa-based Medicare Advantage health plans have agreed to pay nearly $32 million to settle a whistleblower lawsuit that alleged they exaggerated how sick patients were and took other steps to overbill the government health plan for the elderly.

Feds: UnitedHealth Doctored Medicare Records

May 18, 2017

The Justice Department on Tuesday accused giant insurer UnitedHealth Group of overcharging the federal government by more than $1 billion through its Medicare Advantage plans.

Federal prosecutors argued Tuesday that a prominent Florida eye doctor tied to alleged political corruption ran a practice that was actually a well-organized scam that stole millions from Medicare.

Florida is among one of the nation's top states in recovering money from health care providers suspected of Medicaid fraud.

The Medicare fraud trial of a prominent South Florida eye doctor tied to a New Jersey senator's alleged corruption is set to begin.


There's less than a week left in the Annual Election Period for Floridians enrolled in Medicare to change their plans.

The U.S. Department of Justice has settled a lawsuit with the nation’s largest private nursing home company.


Seniors who like their Medicare choice this year, shouldn't assume it will be the same next year.

A doctor in your network this year could be out of network next year. The same goes for a prescription drug that is covered this year.

Seniors who aren't comparison shopping during Medicare open enrollment, could see their costs increase.

Colleen Krepstekies with the AARP says her agency can connect seniors to organizations that can help them navigate the enrollment process.

Eight people face charges after authorities say they received $157 million in fraudulent insurance claims as part of a scheme involving prescription compounding pharmacies in Pasco County and the Miami area.

Between Oct. 2012 and Dec. 2015 the suspects are accused of submitting $633 million in fraudulent reimbursement claims for prescription compounded medication to Medicare, Tricare and private insurance companies, authorities said.

A businessman accused of orchestrating a $1 billion Medicare and Medicaid fraud scheme in South Florida will be staying in jail until his trial.

A federal appeals court Monday said a bankruptcy judge did not have the authority to block health officials from cutting off Medicare and Medicaid payments to a Florida nursing home that was alleged to have violated patient-care regulations.

A program that helps seniors choose a Medicare program and save money on prescription drugs could be going away in Florida and across the country.

Florida Regulators OK Anthem-Cigna Insurance Deal

Apr 4, 2016

State insurance regulators have approved Anthem's purchase of Cigna's Florida companies as part of a broader merger of the major health insurers.

A fugitive from Miami who has been on the run for almost 20 years is back in federal custody after he was arrested in Nicaragua.

For most hospitals in Florida, Medicare is changing the way it pays for hip- and knee-replacement operations to ensure that patients get the right care at the right time at the right price for taxpayers. 

Doctors Ponder Delicate Talks As Medicare Pays For End-Of-Life Counsel

Mar 16, 2016

She didn’t want to spend the rest of her days seeing doctors, the 91-year-old woman confessed to Dr. Kevin Newfield as he treated a deep wound on her arm.

Insurance giant Humana Inc., which operates some of the nation's largest private Medicare health plans, knew for years of billing fraud at some South Florida clinics but did little to curb the practice even though it could harm patients, a doctor alleges in a newly unsealed whistleblower lawsuit.

Associated Press

Florida’s governor would be able to use military force to keep out immigrants or refugees from certain parts of the world under a bill passed by a House committee today.

Florida Attorney General Pam Bondi says she was wrong to urge the U.S. Centers for Medicare & Medicaid Services to pay for high-priced and unnecessary drug screening tests from a company being investigated for defrauding Florida Medicaid of millions.

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