Fred Schulte

Fred Schulte appears in the following:

The DOJ Says A Data Mining Company Fabricated Medical Diagnoses To Make Money

Tuesday, September 14, 2021

In a civil suit filed this week, the Justice Department accuses a New York medical analytics company of helping a Medicare Advantage plan cheat taxpayers out of millions of dollars.


Humana Inc. Overcharged Medicare Nearly $200 Million, Federal Audit Finds

Tuesday, April 20, 2021

If the report by the U.S. Department of Health and Human Services' Office of Inspector General is sustained, Humana Inc. could face a record penalty for overcharges in a Medicare Advantage plan.


Whistleblower Alleges Fraud At A Large Medicare Advantage Plan In Seattle

Friday, October 18, 2019

As the Trump administration calls for expanding access to Medicare Advantage, a federal whistleblower lawsuit accuses a large Medicare Advantage plan of bilking Medicare out of $8 million.


Journalists File Lawsuit To Force Feds To Release Medicare Advantage Audits

Friday, September 27, 2019

A lawsuit filed by Kaiser Health News under the Freedom of Information Act could spur the Centers for Medicare & Medicaid Services to release audits that document up to $650 million in overcharges.


Missouri Firm With Silicon Valley Ties Faces Medicare Billing Scrutiny

Tuesday, July 23, 2019

A federal audit and a whistleblower lawsuit allege that Medicare Advantage plans from the St. Louis-based Essence Group Holdings Corp. have significantly overcharged taxpayers.


Medicare Advantage Plans Overbill Taxpayers By Billions Annually, Records Show

Tuesday, July 16, 2019

The federal government wants to deploy several new tools for catching insurers that have overcharged Medicare $30 billion in the past three years alone. But the insurance industry is balking.


Why The Promise Of Electronic Health Records Has Gone Unfulfilled

Monday, March 18, 2019

The government used a 2009 financial stimulus package to move the country from paper medical charts to electronic records. Care was supposed to get better, safer and cheaper. It hasn't worked out.


How A Urine Test After Back Surgery Triggered A $17,850 Bill

Friday, February 16, 2018

A few months after surgery for a painful spinal disk, a woman's doctor asked her for a sample of urine during a follow-up visit. The routine request turned into a financial nightmare.


As Seniors Get Sicker, They're More Likely To Drop Medicare Advantage Plans

Wednesday, July 05, 2017

Medicare Advantage plans say they offer good value and aim to keep patients healthy, but sicker people are far more likely than others to drop out because of lack of access to specific doctors.


Medicare Advantage Insurers Settle Whistleblower Suit For $32 Million

Wednesday, May 31, 2017

A former medical director at two Florida insurance companies alleged the companies inflated fees by making patients appear sicker than they were or exaggerating the treatment that was provided.


Suits Accuse Insurance Companies of Making Millions by Profit-Gaming Medicare

Monday, May 22, 2017

A whistle-blower at UnitedHealth Group is claiming that big insurance companies have been using Medicare Advantage to profit-game the system in order to be paid more.

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Justice Department Joins Second Lawsuit Against UnitedHealth

Tuesday, March 28, 2017

At issue are alleged overpayments from the government to the the insurer UnitedHealth Group, which runs popular Medicare Advantage plans.


Medicare Failed To Recover Up To $125 Million In Overpayments From Private Insurers

Friday, January 06, 2017

Audits show Medicare potentially overpaid five insurance plans by $128 million, yet the government recovered only $3 million. The finding adds to questions about oversight of Medicare Advantage plans.


Audits Of Some Medicare Advantage Plans Reveal Pervasive Overcharging

Monday, August 29, 2016

Federal audits of 37 Medicare Advantage health plans cited 35 for overbilling the government. Many plans, for example, claimed patients with depression or diabetes were sicker than they actually were.


Report: A Housing Scam Grows in Brooklyn

Tuesday, August 09, 2016

Groups which purport to be foreclosure-prevention or loan-modification firms are actually bilking customers out of tens of thousands of dollars.

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GAO Audit: Feds Failed To Rein In Medicare Advantage Overbilling

Monday, May 09, 2016

Privately run Medicare Advantage plans have overcharged the federal government by billions of dollars, yet Medicare hasn't been effective in recouping the excessive payments, an audit found.


Florida Doctor Says False Diagnoses Inflate Bills, Could Harm Patients

Friday, March 04, 2016

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.

The suit ...


Lax Auditing Encouraged Overcharging By Medicare Advantage Plans

Friday, December 18, 2015

Despite facing mounting evidence federal officials were overpaying some Medicare health plans by tens of millions of dollars a year, the government dialed back efforts to recover as much of the money as possible, newly released records show.

The privately run Medicare Advantage plans offer seniors an alternative to traditional ...


White House Takes Aim At Medicare And Medicaid Billing Errors

Thursday, September 03, 2015

White House budget director Shaun Donovan called for a "more aggressive strategy" to thwart improper government payments to doctors, hospitals and insurance companies in a previously undisclosed letter to Health and Human Services Secretary Sylvia Mathews Burwell earlier this year.

Government health care programs covering millions of Americans waste billions ...


Whistleblower Says Medicare Advantage Plans Padded Charges In Home Visits

Wednesday, August 12, 2015

A whistleblower case in Texas accuses a medical consulting firm and more than two dozen health plans for the elderly of ripping off Medicare by conducting in-home patient exams that allegedly overstated how much the plans should be paid.

The Texas litigation, whose details were unsealed by the court in ...