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I’m Covered By Medicaid But My Doctor is Suing Me For The Bill. – Laura

“Dear Steve, I live in new york state, have an income below the federal poverty level, and recieve medicaid benefits. 9 months ago, when i was pregnant (approximately 3 weeks before my due date,) I visited new jersey. when i was there i began hemmoraging. i went to the nearest emergency room, was admitted and …

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FTC Charges Settled By CVS After Deceptive Prescription Pricing For Seniors And Disabled Consumers

Stories like this scare me. Especially when I have family that utilizes these pharmacies and participates in the Medicare program. If you’re using Part D prescription drugs from CVS, read on…. It was announced late last week that the CVS Caremark Corporation has settled with the Federal Trade Commission (FTC) for deceptive pricing charges that …

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Vanguard Settles With $2 Million In False Claims Act

It was announced last week that the United States and the State of Tennessee will be receiving $2 million in a settlement of False Claims Act allegations from Vanguard and its wholly owned subsidiary, Vanguard Health Care Ancillary. The settlement resolves claims by the United States and the state of Tennessee that Vanguard wrongly billed …

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135 Month Sentence For $45 Million Medicare Fraud

Houston, Texas doctor, Christina Joy Clardy, was sentenced to just over 11 years (135 months) in federal prison for a monumental health care fraud conspiracy the resulted in Medicare and Texas Medicaid programs to be billed $45,039,230 over a 30 month period. Clardy is the third defendant to be sentenced in this matter. Last week …

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FTC Asks To Restrict Pay-For-Delay Deals To Lower Consumers’ Health Care Costs

The Federal Trade Commission (FTC) has released a report of data pertaining to the 2011 fiscal year which showed that pharmaceutical companies continued an anticompetitive trend of paying potential generic rivals to delay the introduction of low-cost prescription drug alternatives for American consumers. If you’re like me, generic pharmaceutical drugs save my life, not only …

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Pharmacist Sentenced To Nearly 5 Years In Prison For Medicaid Fraud

Healthcare fraud and money laundering? Again? Sure, why not. John Love has been sentenced to 51 months in jail for laundering money and defrauding the healthcare system. Love apparently used taxpayer’s money to live well beyond his means and his sentence is meant to make it clear to others defrauding the system that there is …

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Multimillion-Dollar Medicaid Fraud Settled With $150 Million

Richard West, a New Jersey resident and Vietnam veteran suffering from muscular dystrophy, relies on Medicaid benefits to pay his medical bills. During a visit to his dentist he was told that his benefits has maxed out. Shortly after he said his services were being cut back and he wasn’t receiving the care he needed …

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I’m Working With a Couple That Had Medical Issues and Debts. What Do You Suggest? – Lisa

“Dear Steve, I’m working with a couple – one of whom acquired a brain injury a few years ago. She has not been able to work and has SSDI. She also has NH Medicaid and Medicare coverage. Her husband continues to work but his income is fairly low (construction in this economy). As a result …

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