Open enrollment starts Nov. 1. Higher premiums and expiring tax credits could combine for spikes in costs.
All tagged health care
'Approved or denied': Health care providers say insurers too often deny care for profit
Amanda Watson was diagnosed with breast cancer three weeks after having an emergency cesarean section to deliver her second son. Her test results showed she had one of the most aggressive forms of breast cancer, with a high recurrence rate and low survival rate.
Attorney General Josh Stein Announces Health Care Fraud Sentencing
Attorney General Josh Stein announced today that Valerie Ann Sinclair of Fayetteville pleaded guilty to 21 counts of obtaining property by false pretenses in Moore County Superior Court. Judge Regina M. Joe ordered Sinclair to surrender her clinical mental health counselor supervisor license and pay $71,046.04 in restitution to the North Carolina Medicaid program.
Attorney General Josh Stein Announces $2.45 Million Health Care Fraud Settlement
(RALEIGH) Attorney General Josh Stein today announced a $2.45 million settlement with Vista Clinical Diagnostics, LLC, for allegedly submitting or causing the submission of false claims to Medicare and Medicaid programs in North Carolina, Virginia, and Florida. These settlement funds will be returned to the Medicare and Medicaid programs.
Tillis, Colleagues Introduce Bipartisan Legislation to Incentivize Better Health Care at Lower Costs
Senator Thom Tillis and his colleagues recently introduced the Value in Health Care Act, bipartisan legislation that would update the program parameters of Medicare’s Alternative Payment Models (APMs) to incentivize participation in Accountable Care Organizations (ACO).
State Supreme Court rules government retirees had contractual health care right
The N.C. Supreme Court has ruled, 4-2, that 220,000 state government retirees had a contractual right to premium-free health care benefits that had been promised to them. Now a trial court will have to determine whether state changes to those benefits a decade ago violated the contract.
Attorney General Josh Stein wins nearly $1.5 million in health care settlements
Attorney General Josh Stein today announced two civil health care settlements through his office’s Medicaid Investigations Division (MID) that will refund nearly $1.5 million to the North Carolina Medicaid Program.
Rep. Murphy selected to join Ways and Means Committee
Congressman Greg Murphy, M.D. (NC-03) released the following statement after being chosen to serve on the House Ways and Means Committee and Health and Oversight Subcommittees for the 117th Congress.
Our technology made us resilient
The COVID-19 crisis had enormous and destructive consequences for our health, our economy, our education systems, and the quality of our social and family lives. Now, just imagine how much worse the consequences would have been in the absence of modern information and computer technology (ICT).
Attorney General Josh Stein announces two health care fraud sentencings
Attorney General Josh Stein today announced that James Aaron Lawson and Tanisha Latoy Darden each pleaded guilty to attempted medical assistance provider fraud. They were sentenced to 45 days in prison, with their prison sentences suspended in lieu of 18 months of supervised probation. Lawson was ordered to pay $1,020 and Darden was ordered to pay $855 in restitution to A Caring Heart, a Medicaid provider in Clinton.
Hudson, Crenshaw sponsor bill to coordinate federal emergency health response
North Carolina's 8th District congressman is teaming up with a high-profile Texas counterpart to help sponsor a bill clarifying the federal government's response to health care emergencies.
Medicaid fraud conviction will force $2 million payment, 3 1/2 years in prison
An Angier man faces 3 1/2 years in federal prison and restitution of nearly $2 million for his role in a Medicaid fraud scheme. Ruben Samuel Matos learned his sentence today, according to a release from the U.S. Attorney's Office in North Carolina's Eastern District.
Gov. Cooper signs executive order extending health care regulatory waivers to address COVID-19 pandemic response
Governor Cooper signed Executive Order 225, extending certain DHHS regulatory waivers to facilitate the provision of health care and vaccination efforts during the COVID-19 pandemic.
FDA and CDC Authorize Pfizer COVID-19 Vaccine for Children Age 12 and Older
Based on a review of safety and effectiveness data from clinical trials in the United States and the expanded emergency authorization by the U.S. Food and Drug Administration, the Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention (CDC) and the CDC today recommended use of Pfizer’s COVID-19 vaccine for children ages 12 through 15.
Legislation would ease health care red tape, boost access to care
Legislation introduced in this session of the General Assembly seeks to reduce restrictions created by certificate of need laws, which critics say reduce access to health care and increase costs.