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A federal whistleblower lawsuit accuses insurance companies and hospitals of defrauding Indiana's Medicaid program of up to $700 million ― money that could have helped prevent a $1 billion ...
By 2010, the company was the third largest Medicaid HMO in the country, with $2.5 billion in revenue and 800,000 members across Ohio and Michigan. [12] In 2010, CareSource announced expansion of its provider network in Southeastern Ohio through a partnership with Quality Care Partners (QCP), a physician-hospital organization (PHO). [13]
Arizona's Health Information Exchange, led by the state's Medicaid agency, provides a web-based platform to facilitate the exchange of health information among providers. This system helps bridge the gap between healthcare organizations and ensures that patients' medical records are accessible regardless of the provider they visit.
The lawsuits alleged a number of schemes to submit false claims to Medicare and various Medicaid programs. [13] In 2013, a Las Vegas Review-Journal article [14] profiled the case of a military whistleblower represented by James Hoyer. The case of Lt. Col. Timothy Ferner vs. giant defense contractor SAIC resulted in a nearly $6 million ...
Parents of disabled children sue Indiana over Medicaid changes addressing $1 billion shortfall. ISABELLA VOLMERT. May 17, 2024 at 4:37 PM.
FQHCs serve as essential health care providers, offering medical, dental and behavioral health care to individuals irrespective of their insurance status or income. They also address non-financial barriers to health care through enabling services, such as housing support, transportation, and nutritional assistance. [ 2 ]
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Superior HealthPlan is a joint-venture of Centene and Community Health Centers Network LP, which provides services for Medicaid recipients. [34] The article reported that Superior HealthPlan had previously paid healthcare claims for the infant at the hospital, although Superior HealthPlan stated that it did not cover procedures at the facility ...