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2+ min ago (51+ words) A report has revealed that Texas is the third most expensive state in the nation for home insurance. "I think I speak for all of us when I say 'what the actual f**k'!" ... A report has revealed that Texas is the third most expensive state in the nation for home insurance....

1+ hour, 13+ min ago (850+ words) An analysis of the Patient Protection and Affordable Care Act (PPACA), commonly known as Obamacare, has unveiled massive fraud that could be costing American taxpayers billions of dollars, the Government Accountability Office (GAO) said in a report released on Dec. 3. In plan year 2024, almost $124 billion in such credits is estimated to have been paid out to insurance companies, accounting for around 19.5 million enrollees. The GAO report identified instances of social security number (SSN) abuse involving identity theft and similar fraudulent practices. GAO's analysis identified more than 29,000 SSNs that had insurance coverage with APTC for more than 365 days in plan year 2023, suggesting that these social security numbers could be used by multiple Obamacare enrollees. "The most frequently used SSN in plan year 2023 was used to receive subsidized insurance coverage for over 26,000 days (over 71 years of coverage) across over 125 insurance policies," the…...

1+ hour, 35+ min ago (246+ words) Medicare overpaid for optometry services to nursing homes, the Office of Inspector General's (OIG) audit report released Thursday found. In OIG's sample, Medicare paid 200 optometrists $4.7 million between 2021 and 2023 for high-level evaluation and management services not usually billed by optometrists for beneficiaries in nursing homes." Out of that 200, 15 optometrists represented 72% of the payments, or roughly $3 million in overpayments. OIG found that the Centers for Medicare & Medicaid Services (CMS) did not have a claim review process in place for optometrist services and also lacked system edits to prevent the billing of certain Current Procedural Terminology, or CPT codes. Evaluation and management (E/M) services occur when qualified health care providers diagnose and treat an illness. Medicare only covers services that are required to diagnose, treat or maintain function during an illness. CMS agreed with the first two recommendations and outlined steps it was…...

2+ hour, 32+ min ago (355+ words) Visakhapatnam: Home Minister Vangalapudi Anitha mentioned that she came to know of challenges faced by police personnel regarding inadequate health insurance during her interactions with constables,... Visakhapatnam: Home Minister Vangalapudi Anitha mentioned that she came to know of challenges faced by police personnel regarding inadequate health insurance during her interactions with constables, IPS officers, home guards and drivers. Inaugurating a health-insurance programme initiated by the Visakhapatnam City Police for the welfare and protection of their personnel, the Home Minister remarked that the health insurance coverage available to police officers and their families was insufficient earlier.Anitha noted that even minor ailments were leading to a huge bill, prompting the officers to avail loans for the treatments. She expressed concern that many personnel were reluctant to seek treatment at private hospitals because of the financial strain they had to go through....

2+ hour, 54+ min ago (1267+ words) A Maryland man lost his health insurance after the government mistakenly declared him dead, his family told the News4 I-Team. To pay for the dialysis he needed to live, his wife says she spent thousands of dollars out of pocket. Allen Mitchell's headstone says he died on March 10. But according to the government, he died months earlier, in a complication that's been doubly heartbreaking for his family. For years, the I-Team has tracked people who have been mistakenly declared dead. After many federal employees have been terminated in the past year, the problems could be harder to prevent and fix because many government experts are gone, according to experts with the agency. Mitchell was a loving father and husband who was devoted to his two daughters. He loved cars, motorcycles, his pet parrot and his favorite recliner, where he rooted for…...

3+ hour, 16+ min ago (419+ words) Brattleboro Memorial Hospital announced Thursday it is now projected to lose $14.5 million this fiscal year. The news came as the hospital resubmitted its budget this week to state regulators, who rejected the hospital's prior spending plan earlier this year on the grounds that its numbers didn't add up. If Brattleboro's new estimates come to fruition, the 61-bed nonprofit facility will lose about as much money as all other Vermont hospitals operating in the red combined. It's also facing turbulence in its leadership ranks: Its CEO, Chris Dougherty, recently departed after an unexplained leave of absence. Two doctors from the hospital, Dr. Elizabeth McLarney and Dr. Tony Blofson, are acting as interim co-CEOs while the board of trustees looks for a new leader. "This is not the budget outcome we had hoped for," McLarney said in a statement. "We know this…...

3+ hour, 26+ min ago (1026+ words) Fifty-two-year-old Dinam Bigny sank into debt and had to get a roommate this year, in part because of health insurance premiums that cost him nearly $900 per month. Next year, those monthly fees will rise by $200 " a significant enough increase that the program manager in Aldie, Virginia, has resigned himself to finding cheaper coverage. "I won't be able to pay it, because I really drained out any savings that I have right now," he said. "Emergency fund is still draining out " that's the scary part." Bigny is among the many Americans dependent on Affordable Care Act marketplace health insurance plans who are already struggling with the high cost of health care, according to a new survey from the health care research nonprofit KFF. Most of the more than 1,300 enrollees surveyed in early November say they anticipate that their health costs will…...

3+ hour, 26+ min ago (1026+ words) Fifty-two-year-old Dinam Bigny sank into debt and had to get a roommate this year, in part because of health insurance premiums that cost him nearly $900 per month. Next year, those monthly fees will rise by $200 " a significant enough increase that the program manager in Aldie, Virginia, has resigned himself to finding cheaper coverage. "I won't be able to pay it, because I really drained out any savings that I have right now," he said. "Emergency fund is still draining out " that's the scary part." Bigny is among the many Americans dependent on Affordable Care Act marketplace health insurance plans who are already struggling with the high cost of health care, according to a new survey from the health care research nonprofit KFF. Most of the more than 1,300 enrollees surveyed in early November say they anticipate that their health costs will…...

5+ hour, 8+ min ago (1503+ words) Federal Watchdog Reveals Rampant Obamacare Fraud; 90% Of Bad-Doc Applicants Approved In Undercover Test A new bombshell report from the Government Accountability Office (GAO) details a long-running vulnerability in the Affordable Care Act exchanges, showing that weak verification controls continue to expose federal subsidies to significant fraud and abuse." "Preliminary results from GAO's ongoing covert testing suggest fraud risks in the advance premium tax credit (APTC) persist," the report reads. "The federal Marketplace approved coverage for nearly all of GAO's fictitious applicants in plan years 2024 and 2025, generally consistent with similar GAO testing in plan years 2014 through 2016." According to the report, GAO conducted undercover tests by creating fictitious applicants with fake identities and fraudulent or never-issued Social Security numbers to see how the federal Marketplace would respond. Over the past two years, 90% of those fake applicants were approved for subsidized coverage despite…...

5+ hour, 48+ min ago (276+ words) Don't leave money on the table. The year is almost over, and if you have a Flexible Spending Account or a Health Savings account, now is the time to check your balance and make sure no health dollars go to waste. Although these accounts can help you save significantly on medical expenses, they do operate a little differently. FSA: 'Use it or Lose It' by Dec. 31FSA funds do not roll over to the next year, and most funds expire on Dec. 31. While some employers offer a grace period until March 15, 2026, most do not. Experts found that U.S. families forfeit an average of $441 in unused FSA funds back to their employers each year simply by not spending the money in time. What to do now: Check out The Complete FSA Eligibility List at fsastore.com. You might be surprised by all that…...