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Baylor to Pay $907,000 to Settle Health-Claims Dispute with DOJ
The AP reports from Dallas, “Baylor University Medical Center, Baylor Health Care System and HealthTexas Provider Network will pay $907,000 to settle allegations of submitting false claims to the...
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Medicaid Personal-Care Programs are Targets for Fraud, Investigators Say
I have several friends in the home care business, and they are honest and ethical. Unfortunately, there are some people in this business who are less than honest. In fact, there some some plain old...
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Dallas Area Interfaith Forces Much-Needed Debate on Medicaid Expansion
There are big decisions being made around the country, state-by-state, over implementation of one aspect of the new Affordable Care Act. Governors are deciding whether to accept billions of dollars...
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Block Grants Will Hurt Medicaid
This article by Pennsylvania elder law attorney Amos Goodall was originally published in the Centre Daily Times, State College, Pennsylvania. One federal budget proposal calls for block grants for...
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Nursing Home Expenses Can Devastate Personal Finances
Most families are shocked when they first learn the cost of placing a family member in a skilled nursing facility, and doubly shocked when they learn that Medicare does not currently cover these costs....
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Uninsured Americans Get Hit With Biggest Hospital Bills
We see this problem almost every day in the personal injury and Social Security disability sections of our law firm, but it has repercussions in elder law also. The bottom line is that hospitals, in...
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Medicaid Coverage of Medicare Beneficiaries (Dual Eligibles) at a Glance
Do you have questions about someone who is covered by both Medicare and Medicaid. The DEPARTMENT OF HEALTH AND HUMAN SERVICES, Centers for Medicare & Medicaid Services has the answers for you — if...
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An Overview of Long Term Care Options
We have added an informative article on our Resources page giving a general view of long-term care options. Click to read the entire article. Here are the opening paragraphs: One of the greatest...
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Owner of Terrell Hospital Charged with Fraud
It’s bad enough that we have doctors and hospitals committing Medicare and Medicaid fraud, but we also apparently have doctors and hospitals committing deadly medical malpractice at the same time....
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Medicaid Dental Dollars Return to State… and to Lobbyists
Many seniors rely on Medicaid not only for basic needs but also to pay for nursing home care. Medicaid benefits can be hard to get, and one reason is that there is only so much money to go around. When...
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Disability Advocates, Nursing Home Industry Battle for Health Care Dollars...
There is an important, ongoing battle for funding between those who care for the elderly and disabled and federal and state governments. The governments — especially the states — are trying to save...
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Home Health Care Helps Make Dallas’ Medicare Spending Among Highest in Nation
If you’ve ever tried to care for an elderly loved one you probably know that professional in-home care is more expensive than the alternatives. It’s usually what most people prefer, but the cost can be...
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CMS Proposal Limits Coverage of Drug to Help Diagnose Alzheimer’s
The Centers for Medicare & Medicaid Services proposed that “Medicare will pay the costs of brain imaging that uses a Eli Lilly & Co. drug to help diagnose Alzheimer’s disease only for patients...
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Medicaid Fraud Seems to be Increasing
Here are a series of news reports from the past few days. Medicaid fraud has always been around, but it seems to be running rampant now. If you suspect some of committing Medicaid fraud, you can get...
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Long-Term Care Insurance Hikes Hitting Policyholders
I’m a believer in long-term care insurance. Just as disability insurance, it’s a gamble. You may or may not collect any benefits. If you don’t collect, that’s probably a good thing for you. If you do...
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No Solution Yet in Sight for Long-Term Care Costs
The cost of long-term care in this country can be enormous, and quite a shock to families when they first have a need for it. Whether it’s home health care, assisted living, or a skilled nursing...
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Featured Link — Understanding Public Benefits When Caring for Elderly Parents
The Texas Lawyer site has a good, short article on Medicare and Medicaid as related to nursing home care. Here are the opening paragraphs: When a parent’s health is declining, a crash course in public...
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Medicare and Medicaid Fraud by Healthcare Providers is Running Rampant
New York LTC company reaches Medicaid overbilling settlement. The New York Times reported that VNSNY Choice, a part of the Visiting Nurse Service of New York that is “the largest managed long-term care...
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Hospital Officials and Advocates Object to Proposed Limits on Obamacare...
Texas politicians, for whatever reasons, seem to be trying to make it as hard as possible for people to sign up for Obamacare, and also to make it harder for residents to receive Medicaid. The actions...
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A Report on Shortfalls in Medicaid Funding for Nursing Center Care
The American Health Care Association recently released a troubling report that stated the past year was the worst ever so far as the gap between long-term care costs and Medicaid payments. As health...
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