Todd Ray is senior vice president, provider network management and Medicare products at BlueCross BlueShield of Tennessee. When shopping for goods and services, cost is most often the determining factor. For those preparing to shop for health care coverage, that’s never been more true. We’ve all felt the impact of […]
wellcare health medicare
Medicare Advantage insurance firms accused of data-mining patient records and submitting false bills
Kathy Ormsby’s work auditing medical case files uncovered an alleged scheme to defraud the federal government: The California health system that employed her was scouring health histories of thousands of elderly Medicare patients, then pressuring doctors to add false diagnoses it found to their current medical records. The point of […]