Medicare News | CVS Caremark ordered to pay $290M after Medicare fraud scheme exposed by former Aetna whistleblower

Title: CVS Caremark ordered to pay $290M after Medicare fraud scheme exposed by former Aetna whistleblower

Article Snip: "...Philadelphia court triples damages after finding pharmacy benefit manager overcharged Medicare by $95M...A federal judge has ordered CVS Health’s pharmacy benefit manager, Caremark, to pay nearly $290 million after a whistleblower accused the business of overcharging Medicare on prescription drugs more than a decade ago.

Sarah Behnke, a former Aetna actuary, alleged Caremark defrauded Medicare Part D by causing false drug cost reports to be submitted in 2013 and 2014."

Reference: www.foxbusiness.com
Root Causes of Medicare Insurance Increases, CVS Caremark, Medicare Faud Scheme, Aetna whistleblower, Slow Justice,

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Medicare fraud possibly tied to 2024 data breach

Title: Medicare fraud possibly tied to 2024 data breach

Article Snip: "...Nebraska SHIP says she has received more than half a dozen recent calls about claims showing up on reports for durable medical equipment that was never purchased or received.

Long tells KNEB News she believes the fraudulent activity is a potential off-shoot of last year’s data breach at Change Healthcare. “It’s the big entity that holds all Medicare numbers, they had a data breach last February. So everybody on Medicare got warned about this breach, and now we’re seeing some possible effects of that,” said Long. ..."

Reference: ruralradio.com
Medicare,Fraud,2024 data breach, Change Healthcare Data Breach,

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National Public Data Hack Exposes Millions: Essential Steps to Safeguard Your Identity and Combat Fraud

Title: National Public Data Hack Exposes Millions: Essential Steps to Safeguard Your Identity and Combat Fraud

Article Snip: "...The recent massive data breach at National Public Data (NPD), a background check company, has potentially compromised the personal information of millions, if not billions, of individuals, including their Social Security numbers, dates of birth, phone numbers, current and past addresses, the names of siblings and parents, and other information. The hacker responsible for the compromise claims the stolen files include 2.7 billion records. ..."

Reference: www.foley.com
Social Security Number Breach, Safeguard Your Identity,Identity Theft,

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More than $5.4 billion in Covid loans went to applicants using 'questionable' Social Security numbers, watchdog says

Title: More than $5.4 billion in Covid loans went to applicants using 'questionable' Social Security numbers, watchdog says

Article Snip: "...The numbers were either not issued by the U.S. government or "did not match the name and/or date of birth information provided … suggesting potential identity fraud.”..."

Reference: www.nbcnews.com
Fraud, Social Security,