Pennsylvania State

A pharmacy manager retrieves medication. (Photo by Joe Raedle/Getty Images). Pennsylvania Auditor General Tim DeFoor has released a report detailing how the Department of Human Services failed to adequately oversee pharmacy benefit managers that provide prescription drug services for Pennsylvanians enrolled in Medicaid. The result, DeFoor said, meant Pennsylvanians paid an estimated $7 million more for the Medicaid program in 2022 alone.

Auditor General says DHS failed to oversee pharmacy benefit managers, costing taxpayers

WDHN

A bipartisan pair of senators is teaming up to try to tackle childcare issues with new legislation.

New bill could cut childcare costs

According to The Sun US, Victims of a data breach have just hours remaining to file a claim for a one-time payment from a $1.5 million settlement. The breach, which compromised the personal data of thousands of CGM customers in December 2022, has led to a class action lawsuit. While CGM, a service solutions company, has not admitted any wrongdoing, the settlement addresses claims that the company failed to adequately protect consumer data.

Americans to get payment up to $4,400 from $1.5m data breach settlement – Just need a bank statement

Kansas State

Virginia State

New Hampshire, OH

Latin Times

SEATTLE - 15 states all across the nation filed federal lawsuits against a Biden administration rule that is expected to allow 100,000 immigrants brought to the U.S. illegally as children to enroll in the federal Affordable Care Act's health insurance, also known as 'Obamacare,' next year. The lawsuit argues that...

15 states sue to block Biden from allowing 100,000 'Dreamers' to enroll in 'Obamacare'

Scripps News

The personal information of billions of people may be exposed after an alleged data breach. According to a lawsuit, the sensitive information includes Social Security numbers and addresses.

Lawsuit filed in potential data breach impacting billions

Alabama State

Mississippi State

Cancer Health

Nearly 1 of every 5 uninsured working-age adults across the 10 states that have not expanded Medicaid under the Affordable Care Act are, according to a new analysis, stuck in a health care limbo known as a “coverage gap.” That means they earn too much money to receive Medicaid but not enough to qualify for financial help to purchase their own plan on the marketplace.

In the 10 States That Didn’t Expand Medicaid, 1.6M Can’t Afford Health Insurance

Coffee County, GA

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contributor

Daily Coffee Press

Last week, two individuals from Coffee County were charged with trafficking methamphetamine following a search at a residence on Willacoochee Highway. On August 13, detectives with the Coffee County Drug Unit conducted an operation involving Charles Black, which led to a search of his residence on Willacoochee Highway. According to the report, Black left his residence before the warrant was served and was subsequently detained.

Two Charged with Trafficking Methamphetamine After Search in Coffee County

In recent years, the need for random drug testing programs in the workplace has become increasingly prominent. As the dynamics of the modern workforce evolve, businesses are recognizing the importance of maintaining a safe, productive, and drug-free work environment. This article explores the growing need for these programs, the benefits they offer, and how companies can implement them effectively.

The Growing Need for Random Drug Testing Programs in the Workplace

Writers represent independent, third-party users who have joined our contributor program and self-verified their accounts. Writers are expected, like all users, to adhere to our Community Standards.

writer

Alamogordo Conservative Daily

Command Sgt. Maj. Harold “Ed” Jarrell has been relieved as the senior enlisted for the Army’s 1st Information Operations Command, an Army spokesperson confirmed, marking the third time within a month and the second within a week, that the Army has fired a command sergeant major of a brigade or larger unit as per Task and Purpose.

The Army Fires 3rd Command Sergeant Major in a Month: Command Sgt. Maj. Harold "Ed" Jarrel

Connecticut State

A Connecticut man has pleaded guilty to his role in a $7.8 million durable medical equipment fraud and kickback scheme. From December 2017 to March 2021, Jesse Foote conspired with overseas telemarketing call centers, DME suppliers, telemedicine companies and physicians to submit fraudulent claims to healthcare benefit programs, the Justice Department said in an Aug. 21 news release.

Connecticut man pleads guilty to $7.8M DME fraud, kickback scheme

North Carolina State

Louisiana State

A report by The AIDS Institute found that 21 health insurance providers in 10 states violate rules regarding co-pay accumulator adjustment policies (CAAPs). Specifically, the insurers are not counting co-pay assistance toward enrollees’ deductibles, despite state laws and a federal ruling prohibiting the practice. Failure to enforce laws regarding...

10 States Allow Health Insurers to Ignore Co-Pay Assistance Rules

Axios

Hospitals are in an increasingly vulnerable position as Medicare Advantage enrollment surges and the federal government looks to take a harder line on health plans, S&P Global warns in a new report. Why it matters: Financial pressures have already prompted providers like Scripps Health to terminate contracts with MA plans,...

Hospitals' Medicare Advantage peril grows: S&P

Oregon Capital Chronicle

Pharmacy middlemen known as pharmacy benefit managers deny claims that they’re responsible for inflating the cost of medicine. They say that big drugmakers are the sole culprits for the sticker shock you or whomever pays for your insurance experiences at the pharmacy counter. On the surface, it seems to make sense. If the pills are […]

Drug middlemen say Pharma sets prices. Then why do middlemen have hundreds for the same drug?

Georgia State

Crisp County, GA

On Wednesday, the Georgia Bureau of Investigation announced the arrest of 24 individuals following Operation Shyne Down. The GBI and other agencies served a total of 120 warrants on the suspects involved in the investigation, which targeted the criminal street gang G-Shyne Bloods and their involvement in criminal activities in Crisp County, Georgia.

Operation Results in More than 20 Charged with Gang Offenses, RICO, and more

Winder, GA

A 50-year-old former jailer has been charged by the Georgia Bureau of Investigation (GBI) with cruelty to inmates and violation of oath of office. On Sunday, July 21, the Barrow County Sheriff’s Office requested the GBI to investigate an incident involving one of their jailers, Lolita Lightner of Winder, Georgia.

Former Jailer at Georgia County Jail Arrested

Missouri State

Creve Coeur, MO

The Center Square

(The Center Square) – The co-owner of a health care company was sentenced to 20 months in prison and fined $100,000 for submitting $3.8 million in fraudulent claims to government health care benefit organizations.
                Carlos Himpler, 44, plead guilty earlier this year to a felony conspiracy charge and was sentenced on Tuesday by U.S. District Judge Sarah Pitlyk. Dr. Franco Sicuro, Himpler’s partner and co-defendant, pleaded guilty in November 2022 and agreed to forfeit $3.1 million in assets.
       ...

Owner of Missouri medical testing lab sentenced for $4 million in federal fraud

According to officials with the Southern District of Georgia, two recently unsealed federal indictments have charged 23 defendants in a series of broad conspiracies involving the use of drones to smuggle methamphetamine, marijuana, and cell phones into state prisons in Georgia.

23 Defendants Charged in Federal Indictments for Drone-Smuggling Drug Operation in Georgia

Denver, CO

David Heitz

Angry Aurorans and Denverites on social media poked fun at the news media Friday as more information came out about Venezuelan gangs on the Front Range. Aurora Mayor Mike Coffman posted on Facebook that the city will use court orders to shut down additional apartment complexes that have been infiltrated by the gangs. It seemed to contradict comments made by Gov. Jared Polis, who said the gang problem was a figment of Aurora council member Danielle Jurinsky’s imagination.

Migrant gang crisis underrated: Denver media criticized

Tennessee State

Thousands of Tennesseans were illegally denied Medicaid and other benefits due to programming and data errors in an algorithmic system the state uses to determine eligibility for low-income residents and people with disabilities, a U.S. District Court judge ruled this week. The TennCare Connect system—built by Deloitte and other contractors...

Judge Rules $400 Million Algorithmic System Illegally Denied Thousands of People’s Medicaid Benefits

California State

A California man has been sentenced for his part in a Medicare and healthcare fraud scheme. John Thropay, M.D., 75, was sentenced today to 37 months in prison for his role in a $2.8 million fraud scheme. The Department of Health and Human Services Office of Inspector General (HHS-OIG) and the FBI investigated the case.

California Medicare fraud doctor sentenced

NewsBreak

PBMs in focus as Auditor General slams Pa. Human Services over Medicaid drug program costs

A report issued Wednesday by Pennsylvania Auditor General Tim DeFoor concludes that the state Department of Human Services (DHS) improperly paid nearly $7 million to pharmacy...

PBMs in focus as Auditor General slams Pa. Human Services over Medicaid drug program costs

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