For many, insurance doesn’t prevent high costs from prescriptions
Half of Americans take no prescription drugs. At the other end of the spectrum are people like Karen Milligan. She needs several drugs and pays a lot for them. She has dealt with multiple sclerosis for three decades. It’s disease of the central nervous system with no cure.  At 65, Karen is seeing her drug costs... Read more
Most Georgia hospitals getting penalized for readmissions
More than 80 Georgia hospitals will receive lower reimbursements from Medicare because of their high rates of patient readmissions. Federal statistics compiled by Kaiser Health News show that just 12 eligible hospitals in the state will get no penalty due to readmissions.   The readmission penalties are required under... Read more
Piedmont agrees to pay $16 million to settle billing lawsuit by feds
Atlanta-based Piedmont Healthcare has agreed to pay $16 million to settle allegations it violated the False Claims Act by improperly billing Medicare and Medicaid. The U.S. Attorney’s Office said Thursday that Piedmont billed the government insurance programs for procedures at the more expensive inpatient rates instead of the less... Read more
The troubled nursing homes you may not know about
A year ago, a resident of a Central Georgia nursing home climbed out of the window of her room and wandered off. The staff at Pinehill Nursing Center in Byromville realized she was gone and launched a search. The woman had been reported to be delusional and refusing to... Read more
Medicare readmission penalties hit dozens of Georgia hospitals again
Hospitals can receive Medicare penalties if too many of their patients are readmitted within a month of their discharge. And recently released federal data show that 85 percent of such facilities in Georgia are set to be penalized. The readmission penalties, created by the Affordable Care Act, have brought increased... Read more

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