News

Natera: Company Using Incorrect Billing Codes to Inflate Insurance Cost, According to Billing Experts

Horizon 274, a genetic screening test by the company Natera (NTRA), provides prospective parents a simple way to forecast over 200 potential genetic conditions that they could pass on to their children. While the test relies on either a single blood draw or saliva swab, a Capitol Forum investigation finds that Natera is invoicing insurance companies for dozens of individual procedures covered...Read More

“We Asked Prosecutors if Health Insurance Companies Care About Fraud. They laughed at Us.”

To protect their networks and bottom lines, health insurers don’t aggressively pursue widespread fraud, making it easy for scammers.  They they pass the costs off to you.   A look into private health insurance fraud and another contribution by Michael Elliott. https://www.propublica.org/article/we-asked-prosecutors-if-health-insurance-companies-care-about-fraud-they-laughed-at-us Read More

“Health insurers make it easy for scammers to steal millions. Who pays? You.”

Insurers are regarded as defenders of health care dollars, but the case of David Williams shows how they allow costs to rise.  Our own Michael Elliott is featured in this eye opening article by Marshall Allen about the rising costs of health care. https://www.vox.com/science-and-health/2019/7/19/20698355/health-insurance-scam-united-cigna-aetna-southwest   Read More

A history of bad blood: Theranos Inc. recently charged with conspiracy to commit wire fraud in the wake of related civil settlements

Elizabeth Holmes, founder and former CEO of Theranos Inc., and Ramesh “Sunny” Balwani, former president of Theranos Inc., have each been charged with conspiracy to commit wire fraud against investors, conspiracy to commit wire fraud against doctors and patients, and nine counts of wire fraud. If convicted, Holmes and Balwani each face a maximum sentence of twenty years in prison...Read More

Michael Elliott Featured On WFAA Channel 8 Regarding Anti-Psychotic Medications

Our very own Michael Elliott was recently featured on WFAA Channel 8, discussing the controversial push for anti-psychotic medications by healthcare professionals:   “An off-label use of a drug is not illegal. What is inappropriate is for a drug company to market that drug for off-label uses.” See the full story here. Read More

Whistle-Blower Describes How UnitedHealth Group Gamed the System

Benjamin Poehling, a former UnitedHealth Group employee, recently gave his first interview since having been publicly named as a whistle-blower.  Poehling describes how UnitedHealth allegedly gamed the system to bilk the Medicare-Advantage program.  To read the full article go to A Whistle-Blower Tells of Health Insurers Bilking Medicare     Read More