“Keep your doctor?” NOT!
Physicians across the state are reeling after they were informed that they will no longer be participants in a popular Medicare program.
UnitedHealthcare sent a letter dated Oct. 2 to 810 primary care physicians and 1,440 physician specialists, telling them that the separation from its Medicare Advantage network would be effective Feb. 1, 2014.
The business, a unit of Minnetonka, Minn.-based UnitedHealth Group, said affected physicians have the right to appeal and told them that their agreements for other UnitedHealthcare networks will not be impacted.
The notification came as a surprise to the Fairfield Medical Association, which counts 1,499 physicians in its ranks.
“They’re letting 19 percent of the physicians in the network go,” said Mark Thompson, executive director of the association. “This is where insurance companies are using insurance contracts to interfere with the doctor-patient relationship.”
via UnitedHealthcare drops physicians from Medicare plan – Financial Mines.
What might have been missed in all the emotional media coverage about the troubles people are having with the ObamaCare exchanges and the news that the IRS official shared tax information with the WhiteHouse:
Hall Ingram said a key piece of the healthcare law’s new infrastructure — the federal “data hub” — is working well.
When consumers apply for insurance and tax subsidies through an exchange, the exchange uses the data hub to draw information from several state and federal agencies to confirm applicants’ identity and calculate the subsidies they can receive.
Exchanges have successfully pinged the IRS’s servers to request income information about applicants, and the IRS has been able to respond, she said.
“As far as we can tell, and we are looking on a daily basis, it\’s operating well,” Hall Ingram said.
via GOP grills IRS’s ObamaCare chief – The Hill’s Healthwatch.
Whoever they are, they aren’t from – or for – Texas!
I’ve had several calls from 202-719-2244, caller ID, “Washington, DC.” They don’t leave a message. I finally got to the phone in time to answer, only to hear the recorded message. Turns out to be a push-poll for Wendy Davis, paid for by “Justice for All PAC.” (Remember, she’s the woman who filibustered in favor of abortions after 5 months, shutting down the Texas Senate with that mob. She’s running for the Democrat nomination for Texas Governor.)
I can’t find much about the PAC out of DC, although the name is currently being used for the Washington State Trial Lawyers Association. There’s a Facebook page out of Michigan.
However, a little more research shows that the phone number belongs to a telemarketer firm. According to the websites “Caller Central” and “800Notes.com.” callers using this number claimed they were collecting donations for victims of Sandy or the Oklahoma tornadoes. ” WhoCallsme.com reports that they were once used to collect money for justice for Trayvon Martin.
Update: see the spoof at WindyDavis4Tx.
After explaining his “history,” of posturing and hiding unpopular legislation by attaching it to another Bill, President Obama truly stumbles:
“And you know, we don’t get to select which programs we implement or not.”
via Obama Stumbles Despite Friendly Press « Commentary Magazine.
Iguess it depends on the meaning of “select,” because as the article notes,
“Obama chooses which parts of which laws he wants to implement and enforce at will, as if Congress were a supercommittee brainstorming ideas rather than a coequal branch passing laws . . “
Not even allowed to take pictures!
Rangers systematically sent visitors out of the park, though some groups that had hotel reservations — such as Vaillancourt’s — were allowed to stay for two days. Those two days started out on a sour note, she said.
The bus stopped along a road when a large herd of bison passed nearby, and seniors filed out to take photos. Almost immediately, an armed ranger came by and ordered them to get back in, saying they couldn’t “recreate.” The tour guide, who had paid a $300 fee the day before to bring the group into the park, argued that the seniors weren’t “recreating,” just taking photos.
“She responded and said, ‘Sir, you are recreating,’ and her tone became very aggressive,” Vaillancourt said.
The seniors quickly filed back onboard and the bus went to the Old Faithful Inn, the park’s premier lodge located adjacent to the park’s most famous site, Old Faithful geyser. That was as close as they could get to the famous site — barricades were erected around Old Faithful, and the seniors were locked inside the hotel, where armed rangers stayed at the door.
“They looked like Hulk Hogans, armed. They told us you can’t go outside,” she said. “Some of the Asians who were on the tour said, ‘Oh my God, are we under arrest?’ They felt like they were criminals.”
Someone was paid to put this notice on the Centers for Disease Control website! On the home page, it’s on a red background! (But don’t worry: they also have a reminder to sign up for ObamaCare.)
Due to the lapse in government funding, only web sites supporting excepted functions will be updated unless otherwise funded. As a result, the information on this website may not be up to date, the transactions submitted via the website may not be processed, and the agency may not be able to respond to inquiries until appropriations are enacted.
Updates regarding government operating status and resumption of normal operations can be found at http://www.usa.gov.
Update, 7:30 PM 10/7/13: The National Institutes of Health also has a disclaimer.
I’ll let you read the translation byJames Taranto’s Best of the Web Today (in the Wall Street Journal) of this little bigoted “memo” against the Republicans, the Tea Party and Evangelicals sent out by “Democracy Corps'” Stan Greenberg and James Carville on your own ( The “memo” is also available for download online in pdf) , but you probably won’t have too much trouble anticipating it from this excerpt:
We expected that in this comfortable setting or in their private written notes, some [participants] would make a racial reference or racist slur [sic] when talking about the African American President. None did. They know that is deeply non-PC and are conscious about how they are perceived. But focusing on that misses how central is race to the worldview of Republican voters. They have an acute sense that they are white in a country that is becoming increasingly \”minority,\” and their party is getting whooped by a Democratic Party that uses big government programs that benefit mostly minorities, create dependency and a new electoral majority. Barack Obama and Obamacare is [sic] a racial flashpoint for many Evangelical and Tea Party voters.
How could anyone take seriously a memo co-authored by these two men? Especially one that is supposed to explain Republicans, using “word cloud” graphic, featured above? Mr. Taranto didn’t, but found at least one author on Bloomberg who did.
If you aren’t a subscriber, consider signing up for the free daily email from The Best of the Web.
Judge orders Virgin Islands beach reopened
January 4, 1996
Web posted at: 12:45 a.m. EST
ST. CROIX, U.S. Virgin Islands (CNN) — A federal judge Wednesday ordered the National Park Service to reopen the Buck Island Reef National Monument despite the ongoing federal budget crisis.
Two Virgin Island residents sued in federal district court to have the park reopened, arguing they were being hurt by the closure of the beach at Buck Island. They said the shutdown had denied them the ability of “freely enjoying a cherished natural resource.” They further argued that the Park Service had violated the federal Open Shorelines Act by closing the beach.
The National Park Service argued it had no choice because the budget crisis had forced it to reduce the normal staff of “two to three employees” to one employee and one volunteer.
It’s not just that this is the first time that US citizens have been barred from the Lincoln Memorial due to a government shutdown, the National Parks service is barring us from scenic drives and overlooks on public and state highways, open beaches and the waters around them, and private businesses that are paying tenants of “government” lands and waters.
One former Secretary of the Interior, Gale Norton, flatly states that these decisions are political and most likely being made in the White House.
Perhaps, instead of blaming one Party or another (or increasing government involvement in something as vital and intimate as the delivery of medical care), it’s time to decide whether our government is responsible enough to own and control so much of our lands.
Update: more closings
1. The City Tavern in Philadelphia, because the Feds own the building, not the business.
2.Nauset Knoll Motor Lodge, which leases land in Cape Cod National Seashore.
3. All sorts of fishing, rafting and hiking. Search the news on any of these topics – there are too many to post.
4. Government sponsored travel, such as the President’s Asian trip. But it also will block scientific conferences.
Edited Oct 4, 2013 at 2 PM to change the picture to one that I own.
The order to shut down business that pay money to the Federal government rather than cost money came from ” ‘above the department’, which I presume means the White House” . . .
“My company, based in North Phoenix, operates nearly over 100 US Forest Service campgrounds and day use areas under concession contract. Yesterday, as in all past government shutdowns, the Department of Agriculture and US Forest Service confirmed we would stay open during the government shutdown. This makes total sense, since our operations are self-sufficient (we are fully funded by user fees at the gate), we get no federal funds, we employ no government workers on these sites, and we actually pay rent into the Treasury.”
Texans paid for this study by the University of Texas College of Liberal Arts, Texas Policy Evaluation Project, founded to “evaluate” the effect of the 2011 State budget cuts on Family Planning, ignoring the deep cuts on everything else the State funded. (Speaking of ignoring: the website hasn’t updated the information on Family Planning since the 2013 Legislature added over $200 Million dollars to the program.)
Tx-PEP, as they call themselves, got some publicity on a San Antonio radio station, WOAI, today, complaining that women will have to “go without” elective abortions.
A pro choice activist group says the strict new abortion restrictions which were approved by the Texas Legislature in July will result in more than 22,000 Texas women per year being unable to undergo an abortion, 1200 WOAI news reports.
“Women particularly in rural areas and outside of cities who want to terminate a pregnancy, will have no recourse because there will be no late term providers left,” Jody Jacobsen of the Texas Policy Evaluation Project, told 1200 WOAI news.
Elective abortions are “elective.” These are not abortions to save the life of the mother. They are abortions due to “choice.”
Of course, the Texas Policy Evaluation Project doesn’t admit that none of the current abortionists are in rural areas. In other words, anyone seeking an elective abortion today must go to a big city and may be inconvenienced.
Forget any pretense at impartiality:
The laws do not cover women who are less than twenty weeks gestation, and abortions will still be available to them.
But Jacobsen says it’s all a matter of personal freedom.
“Who is Rick Perry to tell me what decisions I should or should not have made, or what any other woman should or should not have made,” she said.
From that blog post on Obama’s #TemperTantrum:
” However, only one of our beaches is staffed with lifeguards under normal circumstances anyway, and when the Park closes on holidays, beaches are not barricaded, nor are citations issued to beach-goers. It should also be noted, interestingly, that according to VI Coastal Zone Management Act Section 903 (b) (6), all Virgin Islands beaches are public, from the high tide mark down to the water line…”
There have never been barricades (#Barrycades ) before, but there are under #HarryReidsShutdown?
Here’s what’s happening on St. John, US Virgin Islands due to Obama’s temper tantrum. This in spite of the fact that there are few restrooms and lifeguards, normally. (I think 2 of the beaches have lifeguards.) Those mooring balls are spots for boats to tie up – they are self-serve and people put their money ($15 a night) in a drop box on the honor system.
St John, USVI, hotbed of #shutdown protest?
So it would seem, however unlikely.
Our fair island is about 70% National Park land. Our tourism industry depends largely on operations and concessions inside the park – everything from taxi tours to boat charters, from snorkeling trips to beach weddings. Visitors come from near and far, both domestic and abroad, to sit on some of the most beautiful beaches in the world. Most of all, people visit for a chance to breathe, relax, and let the rest of the world fall away for a little while.
Yesterday, all of that changed. When Congress allowed partisan politics to prevent them from reaching an agreement to fund the government, a long list of government programs and agencies were immediately shut down, including the National Park system within the Department of the Interior. In the Virgin Islands this left some 65 employees furloughed until further…
View original post 660 more words
With the help of AFSCME national and the AFL-CIO’s Washington D.C. Metro Council, the unions created the “Federal Worker’s Guide to Shutdown D.C.,” which gives the status of major points of interest.
The furloughed workers will be in green and blue union t-shirts on the Constitution Avenue side of the Natural History Museum from 10 a.m. until noon on Wednesday. If the shutdown is long and the effort is successful, they may add volunteers at other museums.
Furloughed workers will be carrying signs.
via Shutdown 2013: Furloughed Workers Signing Up As Tourists Guides, Sans Pay – Skift.
How do they justify the extra people to close the WATER around Padre Island?
“Technically, they can’t even fish in park waters, we’ll have rangers on patrol to make sure that people know the waters as well as the land that’s under are jurisdiction is closed,” he added.
via Padre Island National Seashore Closes After Government Shutdown | Corpus Christi, TX | KRISTV.com |.
Think you own your business? Not if you contract with the Federal government!
The Arizona State highway through the Grand Canyon, along with all the private businesses (hotels, restaurants, gift shops, art galleries and even the historic Grand Canyon Railroad train from Williams, Arizona) that are not dependent on money from the Federal government, are arbitrarily “Shutdown” by the Obama Administration.
GRAND CANYON NATIONAL PARK, Ariz. (AP) – The state highway that runs through the Grand Canyon is closing Thursday morning after visitors disregarded the park closure.
Residents of Grand Canyon Village still can access State Route 64.
The Grand Canyon was forced to turn away visitors after the federal government shut down.
The highway had been open to through traffic, but visitors were pulling off the road and removing barricades from overlooks to get a glimpse of the canyon.
Park spokeswoman Maureen Oltrogge says motorists also were turning around on blind corners, tour buses were parking on the roadside and visitors were darting in front of ongoing traffic.
She says the highway closure is to ensure safety and protect resources. She says anyone caught in restricted areas could receive a citation or be arrested.
Be sure and look at the bottom of the page in this USA Today story for the “By the Numbers,” graphic, showing that the free school breakfast and lunch programs, as well as food stamps (SNAP) are not shut down (deemed equivalent to panda cams). No wonder the Democrats are comfortable in still demanding all or nothing.
House and Senate Republicans had offered short-term funding plans to keep open national parks, the Department of Veterans’ Affairs, and other government services in the nation’s capital.
via GOP piecemeal plan to mitigate shutdown fails in House votes.
Horrible typo uneffected edited — BBN
Representative Louie Gohmert (Republican from my old home in East Texas) leads the way: refuse ObamaCare subsidy if you can afford it.
“House Republicans have voted for and sent the Senate two different bills, because we have been offering compromises, even to the extent of compromising with ourselves because Senate Democrats and the President have refused to negotiate at all. They have made clear that they will negotiate with Russians and Iranians, but will not negotiate with Americans.”
via Gohmert Refuses to Take Subsidy Others Don’t Get : U.S. Congressman Louie Gohmert.
Harry Reid is sauntering toward a Federal gov’t shutdown at midnight, tonight.
Even though the House passed a compromise Continuing Resolution (no longer defunding Obamacare, simply delaying it) just after midnight yesterday (Sunday) morning, Harry refused to allow the Senate to gather until 2PM, DC time, today (Monday).
Then, he made his motion to table the House CR. The motion passed along strict Party lines, 54-36. Then . . . might as well wait for it . . . he announced “debate” until 4PM, DC time.
“But in some situations, you may see a redefinition of what ‘start’ means.” (Wall Street Journal quoting Obamacare consultant.)
President Obama and Democrats everywhere should be grateful to the Republicans for saving them from a huge embarrassment. Instead, the Dems continue to dig in, escalating their claims to have won a mandate on ObamaCare in 2012, in spite of the fact that the Republicans won enough seats in the House of Representatives to secure a strong majority.
House Republicans passed a new Continuing Resolution that compromises on Obamacare, by changing from refusing funding altogether to setting up a one year delay. Included in the Bill is a measure that would ensure that our military is paid in the event of a shutdown. The Bill also repeals the 2.3% tax on medical devices and the mandate that business owners with religious objections buy insurance that includes controversial “free” contraception.
The Wall Street Journal, in addition to reporting the redefinition of “start,” outlines the many ways that the Federal and State exchanges are not ready to launch Obamacare on October 1:
In the District [of Columbia], people who use the online marketplace will not immediately learn if they are eligible for Medicaid or for subsidies.
In Oregon, people will not initially be able to enroll in an insurance plan on the Web site.
In Vermont, the marketplace will not be ready to accept online premium payments until November.
In California, it could take a month for an insurer to receive the application of someone who applies for coverage on the exchange on Oct. 1.
. . . But as the launch nears, more delays are occurring. On Thursday, the administration announced a delay in the online shopping system for small businesses and confirmed that the Spanish-language site for signing up for coverage will be delayed until mid-October. Earlier in the week, officials said Medicaid applications will not be electronically transferred from the federally run exchange to states until November.
Update, January 25, 2016 Read about the endorsement from Governor Perry
“I wanted to talk about him, who he was, see if I could get a handle on Ted Cruz the man, not Cruz the caricature I’d seen through the political lens. What I found was a very different person than what I had been led to believe.”
I love what Senator Ted Cruz is doing to fight ObamaCare and the Democrats, and totally agree with his stated goal, but strongly dislike one aspect of how he’s doing it.
Unfortunately, Senator Cruz – who was absolutely correct and exactly on target 99% of the time in his 20+ hour stand in the Senate on Tuesday and Wednesday – leads his crowd in attacking fellow conservative Republicans who support the House Bill that would fully fund the Federal government except for ObamaCare. This, in spite of the fact that Cruz has said that the fight against ObamaCare is “multistaged,” praised the Bill and House Republicans for their action and even joined in Wednesday’s unanimous Senate vote to consider the Bill in the Senate.
Most people either love or hate Ted Cruz, his agenda and his Senate tactics. There doesn’t seem to be any room for distinction between the Senator, his politics, and his actions. John McCain called him a “wacko bird.” Harry Reid called Cruz an “anarchist” – along with everyone in the Tea Party. Even Dorothy Rabinowitz, of the Wall Street Journal editorial board, went overboard contrasting Cruz and Senator Mike Lee with the “sane” wing of the Republican party. Bloggers and editors, as well as politicians focus more on Cruz’ “self regard,” his certainty that he’s right and everyone else is wrong and his lack of humility, than on the fight to stem the tide of Federal overspending and government interference in our lives. (See Wednesday’s Senate floor rants of Harry Reid And Dick Durbin, with the classic propaganda technique – or possibly, classic psychological projection – of accusing your opponent of doing the worst thing that you’re doing.)
At the same time, Cruz’ supporters have gone out of their way to call any of the Republicans who didn’t “#StandWithTed,” “traitors” and “RINO’s.” They make no distinction between McCain (who is a “RINO” in my opinion), and Texas’ Senior Senator, John Cornyn, promising to “primary” the latter in 2014.
I urge Senator Cruz and all conservatives to work to build up, not tear down. Do not join the Dems in emotional attacks and accusations. Most of all, don’t turn this into a 3-sided fight between the Dems, the Republicans, and the other Republicans.
Edited to add link to article on John Cornyn. BBN
If you only read the headlines and first paragraphs of – or the inflamed comments on – the media coverage of the debate over the Federal budget, you might believe that Republican leaders in the Senate are caving to the Democrats on funding Obamacare. In fact, Senators Mitch McConnell and John Cornyn and Senate Republicans recognize and support the House Continuing Resolution which fully funds the Federal government while defunding Obamacare.
There aren’t just two sides to the story. In fact, the media reports obscure that there are three factions: Harry Reid’s Dems, Republicans who support for the House continuing resolution, and In fact, there are three factions: Harry Reid’s Dems, the Republicans who are garnering support for the House continuing resolution, and the Republican efforts led by Senator Ted Cruz to block even the House Bill by filibuster. Hopefully, Senator Cruz will acknowledge that the House CR makes his filibuster unnecessary.
The House Continuing Resolution is a good Bill, allowing the continuation of the Federal government into December. It’s true that the whole budget debate will continue — but wouldn’t it any way?
“. . . graduate from high school, keep your first job for over 1 year, get married and stay married.”
Common sense, right? Okay, it’s not as easy as 1-2-3, and association doesn’t equal causation, but who would argue, right?
“Politifact Texas” would. The Politifact.com website claims to fact check political news and news makers’ comments, and has a Texas Edition. In my opinion, they tend to hit such comments from the Left of center. In this case, they seem to go out of their way to prove Texas Rail Road Commissioner Barry Smitherman wrong, but – even by stressing the importance of the economy in the equation – they prove him right.
Take a few steps, Barry Smitherman said, and you won’t live in poverty. Smitherman, seeking the 2014 Republican nomination for Texas attorney general, put his point this way in prepared remarks for an Aug. 26, 2013, appearance before the Texas Alliance for Life: “Several years ago, the Economist magazine published a piece which said that you only have to do three things to guarantee that you will live above the poverty line—graduate from high school, keep your first job for over 1 year, get married and stay married.”
The rest of the article traces the history of the publications that make the claims to which Commissioner Smitherman refers.
From the Greg Abbott Campaign website:
Communications Director Matt Hirsch speaks with Dr. Beverly Nuckols on location at The Texas Mailhouse in Austin about the negative impact ObamaCare is having on small businesses and the health care industry, while U.S. Secretary of Health and Human Services tries to sell an unworkable, expensive healthcare takeover in Texas.
via Podcast: Stop ObamaCare – Greg Abbott.
(I’m a doctor, not an audio/visual expert. And I certainly can’t afford one. Since I can’t get the podcast to embed, so please go to the site. While you’re there, volunteer, donate, help out!)
Peggy Fikac once again proves that she’s not a reporter, and most certainly not anything like a fair and balanced media representative.
From the Houston Chronicle’s coverage of events in Austin, today:
“Obamacare is the wrong prescription for American health care, and I will never stop fighting against it,” Abbott said, joined by small business people and a doctor who also oppose the law at a company, the Texas Mailhouse.
One reason that Abbott gave for fighting the law came in response to a doctor who asked him from the audience about what Texas could do to keep the federal law from interfering with doctors’ judgment about the best way to treat their patients.
“You’re raising one of the more challenging components of Obamacare, and a hidden component in a way, and that is government is stepping in between the doctor-patient relationship and trying to tell you what you can and cannot do, interfering with both your conscience and your medical oath to take care of your patient,” said Abbott, who is campaigning to succeed Gov. Rick Perry.
That is similar to arguments raised against tighter abortion restrictions approved in special session, including a ban on the procedure at 20 weeks, along with stricter regulations on clinics and abortion-inducing drugs.
I am that doctor from the audience. Ms. Fikac is correct that I voiced concern over the Federal interference between the patient and the doctor. She’s flat wrong about Texas regulation of medicine by bring abortionists up to standards being equivalent to the
I prefaced the question by noting that it is the State of Texas that properly regulates Texas Doctors and medicine. At the State level, patients and doctors have more influence on our elected officials and the people they appoint to write regulations and enforce the law than we do on the Federal level.
I also noted that because of the increasing interference over the years by Medicare, I am concerned about the reach that this new set of regulations will have, including ever-invasive micro-reporting of patient’s private medical conditions. (I named the upcoming move to the ICD-10, which will be a nightmare, requiring doctors to make distinctions between medical conditions, out to five (5) decimal places.
As bad as the bureaucracy of the Office of the Inspector General for the Federal Health and Human Services and the Centers for Medicare and Medicaid Services have been in the past, I don’t look forward to the additional layer of IRS income verification, audits and enforcement.
We could stick closer to home, with the Texas Health and Human Services, the Texas Medical Board, and the Texas Insurance Commission!
The $1.4 Million previously reported was the part that Texas will receive, not the total. Can you guess how the (very few) media reports (if you can find them) are playing the story?
From the July 30, Houston Chronicle:
Planned Parenthood Gulf Coast Tuesday settled a whistle-blower lawsuit that alleged the Houston nonprofit engaged in fraudulent Medicaid billing for $4.3 million – nearly $3 million more than was announced last week by Texas Attorney General Greg Abbott.
Yes, Planned Parenthood is quoted as claiming that the settlement for the AG’s finding that they are guilty of over $30M in fraud is “baseless” and simply a way to end harassment and to avoid turning over the (altered) medical records of patients. But the spin on the story is that Texas’ Attorney General, Greg Abbott, didn’t report the total and sent out his announcement before the settlement was signed by all parties.
My news search yields some op-eds and stories by Texas’ newspapers and a few more on pro-life sites.
In the meantime, doctors who still accept Medicare (not hospitals or other “providers”) are facing decreased payments and increased hassles.
As President Barack Obama’s health care law moves from theory to reality in the coming months, its success may hinge on whether the best minds in advertising can reach one of the hardest-to-find parts of the population: people without health coverage.
The campaign won’t come cheap: The total amount to be spent nationally on publicity, marketing and advertising will be at least $684 million, according to data compiled The Associated Press from federal and state sources.
via ‘Obamacare’ National Marketing Campaign To Cost Nearly $700 Million « CBS DC.
Brain drain? In DC? Oxymoron?
Now that the time to sign up for exchange coverage is nearing, a Democratic member, Rep. John Larson (D., Conn.), is saying that “this is simply not fair” – as key staff members head for the exits to avoid Obamacare.
Politico reports that “many on Capitol Hill fear it could lead to a brain drain” and notes that “[t]he problem is far more acute in the House, where lawmakers and aides are generally younger and less wealthy.
via Democratic Congressman: ‘Not Fair’ To Subject Congress To Obamacare Just Like Everyone Else – Forbes.
A question for @GregAbbott_Tx: When will charges be filed?
Planned Parenthood has been found to be guilty of Medicaid fraud including altering medical records and even making taxpayers pay for abortions! History from California in 2004, New York in 2008, others in New Jersey and Washington state. And now, a settlement for $1.4 Million in 2013 in Texas.
“[W]hat are we to make of a consistent pattern of overbilling and fraud across several states, involving millions upon millions of dollars of taxpayers’ money? Given the impenitent attitude of the Texas affiliates and the Planned Parenthood central command, perhaps it is time to inform Cecile Richards & Co. that orange is the new black.”
Good news for Texas, but it seems there should be more penalties for falsifying records!
Texas Attorney General’s Office Obtains $1.4 Million Settlement against Planned Parenthood Gulf Coast for Medicaid Fraud
Planned Parenthood Gulf Coast fraudulently billed Texas Medicaid program for products, services either not provided or not necessary
HOUSTON – The Texas Attorney General’s Office today concluded the State’s Medicaid fraud investigation into Planned Parenthood Gulf Coast, Inc. Under today’s agreement, Planned Parenthood Gulf Coast must pay $1.4 million for fraudulently overbilling the taxpayer-funded Medicaid program.
After a whistleblower lawsuit was filed alleging improper billing practices by Planned Parenthood Gulf Coast, an investigation was opened by the Texas Attorney General’s Office and the Texas Health and Human Services Commission’s Office of Inspector General. The State’s investigation revealed that Planned Parenthood Gulf Coast improperly billed the Texas Medicaid program for products and services that were never actually rendered, not medically necessary, and were not covered by the Medicaid program – and were therefore not eligible for reimbursement. For example, state investigators determined that Planned Parenthood Gulf Coast falsified material information in patients’ medical records in order to support fraudulent reimbursement claims to the Medicaid program.
Update: Of course, PP is saying the claims are “baseless,” and that they paid all that money to rid themselves of a nuisance suit! (See Texas Tribune’s “reporting” here.)
Update 2 on August 5, 2013: The total that PP agreed to pay is actually $4.3 Million. The first number was just that portion that will be paid to Texas.