About a third of Americans who make it to their 65th birthdays will need nursing home care, according to the U.S. Department of Health and Human Services. In 2021, Medicare spent $92.6 billion on skilled nursing facility care and home health services.Unfortunately, nursing home fraud is particularly problematic in facilities where vulnerable patients live away from loved ones. When care is motivated by financial gain, it also puts patients’ lives at risk. Both the state and federal … [Read more...]
California Wage Theft Is Routine for Hourly Workers, Survey Finds
California may be known for its progressive labor standards, but California wage theft and other labor law violations are routine for most hourly workers in the state, and few report them, according to a new analysis.Ninety-one percent of workers surveyed had experienced at least one type of violation at work during the past year. Forty-one percent had experienced a serious violation of the Fair Labor Standards Act (FLSA), such as working off the clock, not being paid required overtime, not … [Read more...]
Medicare Part C Fraud: Whistleblowers Needed as Risk Adjustment Fraud Threatens Medicare Advantage
Medicare Advantage, also known as Medicare Part C, has become the country’s largest taxpayer-funded health insurance program with more than 31 million participants. But as annual expenditures for the program have tripled over the past decade to $450 million, Medicare Part C fraud is on the rise as well. False Claims Act Cases Against Top Medicare Advantage Providers According to a New York Times report, the Department of Justice and whistleblowers have pursued False Claims Act cases against … [Read more...]
Government Fraud Losses: Annual U.S. Estimate Shows Why We Need Whistleblowers More Than Ever
The nonpartisan U.S. Government Accountability Office, in a first-of-its-kind report, has produced an estimate of how much money the federal government is losing each year to government fraud. It’s not only a staggering figure — $233 billion to $521 billion annually — but of even greater concern is the amount of undetected fraud in that estimate.What the GAO Estimate Found According to GAO statistics, confirmed fraud in fiscal years 2018 to 2022 ranged from $4.41 billion to $7.31 billion … [Read more...]
Fair Workweek Law in California: What Employees Should Know
This year, Berkeley became the latest California city to enact a fair workweek law, which gives workers in certain industries – primarily those who employ hourly workers using floating schedules – the right to receive advance notice of their work schedules and additional compensation if changes are made to their schedule with little notice. As described in the ordinance, the law is designed to enact and enforce fair and equitable employment scheduling practices that do not unreasonably … [Read more...]
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