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Doctor accuses healthcare company of overbilling patients
NBC News· 2025-09-19 00:30
Allegations of Fraudulent Billing Practices - Former employee accuses Florida Women Care (FWC) of upcoding, a fraudulent billing practice involving charging for higher-level services than rendered [1][2] - The upcoding allegedly involved billing patients as if they were seen by a doctor when the delivery was provided by a certified nurse midwife [4] - The former employee estimates FWC received tens of millions of dollars it did not earn through upcoding [6] Scope and Impact of Alleged Upcoding - The alleged upcoding impacted both Medicaid and private insurance patients [5] - The practice is claimed to drive up insurance premiums, making healthcare more expensive for everyone [5] - The former employee identified over 150 patients with upcoded visits at Florida Woman Care [6] - Unified Women's Healthcare, which includes FWC, is responsible for nearly 1 in 21 births in the United States [2] Investigation and Response - The Florida Attorney General's office has an active investigation into Florida Women Care [7] - FWC denies the allegations and states it maintains rigorous compliance programs, including regular independent audits and mandatory compliance training [7] - In 2018, the DOJ investigated FWC for improper billing, resulting in a $1.7 million payment to the US government, without determination of liability [8]
RFK Jr.’s shakeup of public health was ‘longtime overdue,’ says physician GOP Rep.
NBC News· 2025-09-17 21:32
And as we mentioned, it has been a very busy day on Capitol Hill. I want to pick back up with Republican Congressman from North Carolina, Greg Murphy. Um, Congressman, thanks for being with us. Thanks for rolling with the breaking news here a little bit.Um, I want to start with that Senate hearing today uh with former CDC director Susan Manarez where she said she was asked to approve every recommendation from this vaccine panel which now includes these um Kennedy appointed vaccine skeptics regardless of the ...
Kash Patel to appear before House panel today
MSNBC· 2025-09-17 10:07
Government Oversight & Political Scrutiny - The FBI Director faced questioning before the Senate and House Judiciary Committees regarding the handling of the Jeffrey Epstein case, the Charlie Kirk investigation, and allegations of political bias [2][3] - Congress aims to ensure taxpayer dollars are spent effectively at the FBI and that the agency is fulfilling its duty to keep Americans safe [5] - A key focus of the hearings is to assess the FBI's transparency and resource allocation under the current director [7][8] - Republican members of Congress are expressing concerns and disappointment regarding the director's transparency, particularly in relation to releasing files as promised [12][13] Government Funding & Healthcare - A potential government shutdown looms as House Republicans propose a continuing resolution to fund the government until the end of November, which Democrats deem insufficient due to disagreements over Affordable Care Act subsidies [14][15] - Healthcare costs and access are major concerns for constituents, with rising prices and the impact of Medicaid cuts being key points of contention [16][17] - Democrats are prioritizing the fight against healthcare cuts and advocating for affordable healthcare access [17]
A ‘public health catastrophe in the making’? Dem Senator gives dire warning on RFK Jr.’s leadership
MSNBC· 2025-09-04 18:26
Public Health Crisis & Misinformation - Senator Ed Markey highlights the resignation of Susan Monz due to disagreement with an anti-vaccination panel led by Robert F Kennedy Jr [2] - Misinformation is spreading rapidly, potentially leading to a public health catastrophe with increased sickness and death [3][7][8] - The administration's handling of COVID-19, including a lack of knowledge about death tolls (12 million Americans) and vaccine effectiveness, is criticized [4] - Robert F Kennedy Jr's influence is seen as a threat, potentially spreading diseases across states due to anti-vaccination sentiments [6][9] Vaccine & Public Health Interventions - Vaccines and public health interventions significantly reduced childhood mortality, with a historical context of 18% of children under five dying in 1900 [5] - The denial of the importance of vaccines, particularly against diseases like measles, mumps, and rubella, is expected to lead to increased illness and fatalities [8][9] - The former CDC heads are warning about a healthcare catastrophe due to the denialism of Robert F Kennedy Jr [9] State-Level Responses - States like California, Washington, and Oregon are collaborating to provide science-based advice on vaccines [11] - Massachusetts is forming its own vaccine policy coalition, with Governor Healey committed to expert-led standards, emphasizing healthcare access [12][13][14] - Massachusetts, as a healthcare capital, aims to maintain access to vaccinations and healthcare despite potential cuts in Medicaid and the Affordable Care Act [14][15]
'That's about how it's going': Nicolle Wallace reacts to angry GOP town hall
MSNBC· 2025-08-05 21:45
Political Sentiment & Public Opinion - Republican party faces discontent in traditionally Republican areas, indicating potential shifts in voter sentiment [3][7] - Public opinion polls show Donald Trump and the Republican party are largely unpopular [15][16] - Voters are ahead of politicians in recognizing issues like Trump's tax cuts and healthcare policies [21] Republican Party Challenges - Republican representative Mike Flood won with 60% of the vote in a Nebraska district, but faced angry constituents at a town hall [3] - Republican party is perceived as prioritizing capital over the working class, leading to criticism of tax policies [1] - Republican policies, including those related to ICE and healthcare, are causing discontent among voters [7][20] Democratic Party Opportunities - Democratic voters are united in their opposition to Donald Trump's policies and actions [23] - Democratic politicians need to catch up to the emotional intensity of their voters' opposition [24] - Enthusiasm is deflating for the Republican party and inflating for the Democratic party [18] Policy & Spending Concerns - Concerns raised about the reallocation of 450 million USD FEMA dollars and the use of 600 million USD taxpayer FEMA dollars for immigration-related facilities [7] - Criticism of ICE spending 8.4 million USD per day on detaining people [7] - Healthcare is a major point of contention, particularly regarding Medicare for all and Medicaid eligibility [5][6]
'A no-brainer': California AG praises ruling against Trump’s birthright citizenship order
MSNBC· 2025-07-24 15:20
Legal & Constitutional Issues - The discussion revolves around the legal challenges to President Trump's efforts to restrict birthright citizenship, citing the 14th Amendment and Supreme Court rulings [1][2][3][5][6] - Democratic attorneys general are actively challenging the Trump administration's policies, while Republican attorneys general are criticized for inaction [4] - A federal appeals court upheld an injunction blocking the president's effort to restrict birthright citizenship [2][6] Healthcare & Medicaid - A "skinny Medicaid repeal" within the BBB (likely Build Back Better plan) is discussed, potentially leading to increased premiums and loss of healthcare coverage [6][7] - In Kentucky alone, the legislation could result in 200,000 people losing healthcare coverage [8] - The potential impact on rural America is highlighted, including the closure of 35 rural hospitals and the loss of 20,000 healthcare worker jobs [8][9] - Increased paperwork requirements could cause people to lose coverage for 6 months [10][11] - The economic impact on rural communities due to reduced funding for essential services like healthcare is a concern [11] - The governor is committed to doing everything possible to prevent people from losing coverage and to support them in navigating the paperwork [11] - The effects of the bill will be felt before the midterms, with hospitals potentially announcing service cuts [12]
X @The Wall Street Journal
The Wall Street Journal· 2025-07-18 15:39
Organizational Challenges - Planned Parenthood faces internal conflict between healthcare provision and progressive advocacy [1] - The organization is experiencing significant budget deficits [1] External Pressures - Planned Parenthood is being targeted by Trump administration policies [1]
Sounds like 'lab-invented spin': Jen Psaki shreds Sen. Hawley's Medicaid remarks
MSNBC· 2025-07-10 16:05
Healthcare Policy & Legislation - Republican Senator Josh Holly voted for a bill with Medicaid cuts, aiming to ensure its Medicaid provisions never take effect [1][2] - Senator Holly supported the bill to expand healthcare in Missouri for nuclear waste survivors, despite drastic Medicaid cuts [2] - Missouri will receive $1 billion in increased rural hospital funds, but the cuts to rural hospitals are delayed until the 2030s [3] - Senator Holly opposes cutting rural hospitals and will work to prevent it [4][5] Political Strategy & Public Opinion - Critics suggest Senator Holly's stance is a political maneuver to appease angry voters [7][9] - The funding allocated to help rural hospitals is insufficient, falling hundreds of billions of dollars short [8] - Senator Holly's actions feed into public cynicism about Washington and the political process [10] - The Republican party is perceived as not willing to challenge the president unless they are retiring or not seeking reelection [11] Election & Political Landscape - Democrats need an aggressive campaign to educate voters, similar to the 2018 healthcare-focused campaign [14] - The Senate could be in play in key races, such as North Carolina [13]
'Truly immoral' legislation: House Dem rails against tax cuts in spending bill
MSNBC· 2025-07-03 13:52
One of the Democrats who spoke out overnight on the House floor was Congressman Brendan Bole of Pennsylvania. He's the ranking member of the budget committee. Here's a bit of what he had to say.The decision we have been entrusted by the American people to make will have ramifications for millions of our fellow Americans and indeed for our country for decades to come. There may not be a lot of people able to watch at 4:05 in the morning, but in just a few short hours, some of them on Medicaid will be waking ...