Former Medicaid supervisor sentenced to 18 months in federal prison
Yolanda Brooks, 52, of Indianapolis was also ordered to serve three years on probation after her prison stay and pay $920,148.51 in restitution.
Medicaid
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Bills on antisemitism, school chaplains hang in balance as legislative session nears end
Indiana’s lawmakers have just days to finalize legislation in key areas like health and education — from literacy and antisemitism to ambulances and a Medicaid shortfall. And some continued attempts to increase legislative oversight of the executive branch are on track for passage, but others appear dead.
Covering $1B shortfall in Medicaid forecasting means dipping into reserves
The state’s April Medicaid expenditure forecast missed the mark by roughly $984 million due to a combination of state budget reversions and unexpected growth of services for aging and disabled Hoosiers.
Families say autism therapy helped their kids. Indiana’s Medicaid cuts could put it out of reach
Families reliant on Medicaid worry changes coming in January will limit access to the therapy as Indiana attempts to limit the cost and, along with other states, cut the size of the low-income health care program.
Committee provides updates on Medicaid programs for aging, maternal health
An estimated 130,000 Hoosiers over the age of 60 using Medicaid will receive notices in early 2024 advising them to choose a Managed Care Entity (MCE) to coordinate their health coverage under the state’s Pathways for Aging program.
COA remands for fuller analysis of woman’s Medicaid eligibility
An administrative law judge’s analysis of a woman’s irrevocable trust as it relates to her Medicaid nursing home benefits eligibility was incomplete, the Court of Appeals of Indiana ruled in a Tuesday reversal.
More than 744k Hoosiers on Medicaid affected in software breach
The names, addresses, case numbers and Medicaid numbers of more than 744,000 Hoosiers on Medicaid were exposed in a contractor’s late May security breach, Indiana’s Family and Social Services Administration announced Friday.
Attorney General’s Office investigates health care fraud
Indiana Attorney General Todd Rokita’s office, through its Medicaid Fraud Control Unit, joined more than a dozen states and the federal government Wednesday in a nationwide enforcement action against 78 individuals charged with $2.5 billion in Medicaid Fraud.
First month of Medicaid ‘unwinding’ boots 92K Hoosiers from coverage
Nearly 92,600 Hoosiers lost their Medicaid coverage this month, the first of many to lose their insurance following the “unwinding” of pandemic-related protections over the next year — and at a much higher pace than previously predicted.
Federal judge triples damages to $183M against Lilly in whistleblower suit
A federal judge in Illinois has tripled the damages in a jury verdict against Eli Lilly and Co., ruling that the drugmaker must pay $183.7 million in a lawsuit filed by a whistleblower who said the company made false claims about federal Medicaid rebates.
As public health emergency ends, pandemic-era support programs have already been fading away
The formal end of the national Public Health Emergency on Thursday is largely a symbolic and psychological step. But behind the scenes, several core aspects of America’s pandemic-era emergency safety net are also coming to a close.
Dillman: End of COVID public health emergency impacts Indiana Medicaid
The COVID-19 federal public health emergency has ended, and Indiana Medicaid is returning to normal operations over the course of the next 12 months.
State reaches $700K settlement with Hammond medical provider
The state has reached a $700,000 settlement with a medical provider in Hammond.
Autism provider agrees to $2M settlement
The United States Attorney’s Office for the Southern District of Indiana has recovered $2 million as part of a civil settlement with an Indiana autism therapy provider and its owner over allegations of Medicaid fraud.
Lawmakers hear mixed reviews on bill to lower health care costs
A wide-ranging bill aimed at lowering health care costs for Hoosiers received mixed reviews in committee on Tuesday, from provisions penalizing hospitals for high prices to curtailing the use of non-compete agreements.
Indiana to get $66.5M to settle overpayment suit against insurer Centene
Indiana has reached a $66.5 million settlement with St. Louis-based health insurer Centene Corp. to resolve allegations that the company overcharged the state’s Medicaid program for pharmaceutical costs.
Indiana House Republicans propose fines for hospitals with high fees
Upset with what they say is the excessive cost of health care in Indiana, House Republicans want to levy fines against hospitals that charge more than 260% of what Medicare reimburses for services.
COA finds ‘extraordinary circumstances’ in spousal support, Medicaid dispute between wife, FSSA
The Indiana Family and Social Services Administration has prevailed before the Court of Appeals of Indiana in a dispute with a woman whose spousal support order increased the amount of Medicaid funding her incapacitated husband received.
Pressure remains on HHC to drop Talevski case: Advocates continue fight to prevent SCOTUS from blocking §1983 claims
Grassroots efforts are hopeful and continuing to pressure the Health & Hospital Corporation of Marion County to withdraw its case pending before the SCOTUS, which is feared as potentially harming the elderly, the disabled and the very young.
Public rally continues push to get HHC to drop SCOTUS petition
Although the oral arguments have passed, grassroots organizers in Indianapolis are sustaining the pressure on the Health & Hospital Corporation of Marion County to withdraw its case pending before the U.S. Supreme Court.