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Posts Tagged ‘Scams’

Seniors Get Hung Up In Health Care Scams

Wednesday, May 8th, 2013

Kaiser Health News reports:

“One recent morning, 86-year-old Evelyne Lois Such was sitting at her kitchen table in Denver when the phone rang.  She didn’t recognize the phone number or the deep voice on the other end of the line. “He asked if I was a senior, and I said yes, and he said we are sending out all new Medicare cards and I want to make sure I have all of your statistics correct,” Such recounts.

At first, the caller didn’t seem too fishy; he started by running through her address and phone number, just to make sure they were right. But then he read off a series of numbers and asked if it was her bank routing number. “I didn’t know really at the time whether it was or not, but I just said no. He said, well could you give it to me so I’ll have it correctly, and I said, well I’m not so sure about that. And he started to say something and I hung up.”


Senate Votes To Repeal Medical Device Tax

Tuesday, April 2nd, 2013

Insurance News Net reports:

“It isn’t every day that more than half the Democrats in the Senate vote to repeal part of President Barack Obama’s health care law.

But that’s what happened Thursday night when the Senate voted 79-20 to repeal a 2.3 percent sales tax on medical devices such as catheters, pacemakers and MRI machines, which was intended to help to finance coverage for the uninsured that starts next year.


Questions and Answers on the Individual Shared Responsibility Provision

Friday, February 15th, 2013 reports:

Basic Information

1. What is the individual shared responsibility provision?

Under the Affordable Care Act, the federal government, state governments, insurers, employers, and individuals are given shared responsibility to reform and improve the availability, quality, and affordability of health insurance coverage in the United States. Starting in 2014, the individual shared responsibility provision calls for each individual to have minimum essential health coverage (known as minimum essentia Starting in 2014, the individual shared responsibility provision calls for each individual to have minimum l coverage) for each month, qualify for an exemption, or make a payment when filing his or her federal income tax return.


Governor says state going forward with expanding Medicaid

Monday, July 9th, 2012

The Rock River Times reports:

“SPRINGFIELD, Ill. — The U.S. Supreme Court upheld the national health-care law June 28, but justices apparently left some wiggle room for cash-strapped states such as Illinois.

The ruling shrunk the stick President Barack Obama can use to force states to expand their Medicaid programs.

The court said the federal government can’t take away Medicaid money states already are getting if they refuse to expand Medicaid programs, which the original law allowed.


Feds recover $4.1B in health care fraud in 2011

Thursday, February 16th, 2012

Benefits pro reports:

“MIAMI (AP) — Federal authorities say they recovered $4.1 billion in health care fraud judgments last year, a record high which officials on Monday credited to new tools for cracking down on deceitful Medicare claims.

The recovered funds are up roughly 50 percent from 2009. Attorney General Eric Holder and Department of Health and Human Services Secretary Kathleen Sebelius were expected to make the announcement at a news conference Tuesday.


Fraud timed to reform

Wednesday, November 9th, 2011

Chicago Tribune reports:

“Experts who study scams and frauds know these illicit schemes are often built around big news stories, such as health care reform’s passage. That’s why it shouldn’t be a shock that law enforcement agencies and senior advocates are bracing for a wave of frauds leveraging confusion about the Affordable Care Act.

“We saw a reported spike immediately after the passage of the law, because it was in the news,” says Sally Hurme, senior project manager, health education and outreach, for Washington, D.C.-based AARP. “And we know the scamsters read the papers, and follow the headlines, to determine what sounds like news and is top of mind on the part of people they’re planning to go after.

“Right now, we’re in the trough of the wave, and getting ready for scams to surge again as we get into 2013, and the formation of the (state medical insurance) exchanges that will become available in 2014.”

In many of its manifestations, fraud based on health care reform is a kind of medical identity theft. Like regular identity theft, medical identity theft occurs when perpetrators use someone’s identity to commit fraud. Instead of a Social Security number, it is often a Medicare or Medicaid number that is stolen.


Medicare Fraud on the Rise: 3 New Scams to Watch

Tuesday, March 1st, 2011

Credit Bloggers reports:

“The federal government is advising senior citizens to be on the lookout for new Medicare scams that can separate you from your cash in no time at all. The focus is on three big scams that Uncle Sam wants seniors to be vigilant about – along with some tips to stop scammers in their tracks. (more…)

Health reform’s side effect: Scams

Tuesday, November 16th, 2010 reports:

Fraud experts say health insurance scams are on the rise as criminals quickly exploit consumers’ confusion about how the new health care law changes their insurance coverage.

Most of the schemes are poorly constructed, using the pretext of reform. “So far there’s no major criminal organization behind them,” said James Quiggle, spokesman for non-profit group Coalition Against Insurance Fraud. (more…)

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