Fred Schulte
Fred Schulte
202-481-1210
fschulte@publicintegrity.org
@fredschulte
Health Journalism 2016
Related tip sheet: Tips on prying loose records using FOIA requests, lawsuit
Pacer: Use this federal court database to locate lawsuits against health providers as well as whistleblower cases and other litigation.
Health and Human Services Office of Inspector General: You can search entities and individuals who have settled fraud allegations here or barred from Medicare or Medicaid here.
Securities and Exchange Commission: Publicly-traded companies may disclose government investigations of their operations and their views on federal health policy issues.
Regulations.gov:Searchable sites for proposed government regulations and comments received on them.
Government Accountability Office: The audit arm of Congress
Medicare Payment Advisory Commission (MedPAC): This group advises Congress on Medicare policy.
National Association of Medicaid Fraud Control Units
American Health Lawyers Association: This group may be helpful in finding experts to discuss health industry legal issues.
U.S Senate Lobbying Disclosure Act database: Use this searchable database to locate health care lobbyists by company and industry as well as look at their spending.
Comprehensive Error Rate Testing (CERT): Medicare carriers in the regions across the country report billing error rates related to wrong coding by specialty and by type of service. Error rates are often high. Here’s a link to one region.
Centers for Medicare and Medicaid Services: The agency posts a variety of databases showing Medicare Advantage enrollment by health plan, state and region and also minimal amounts of payment data and enforcement actions.
Kaiser Family Foundation: Good source for Medicare enrollment data.
Center for Public Integrity: searchable database of how Medicare Advantage risk scores changed from 2004 through 2011
Center for Public Integrity: Graphic on how risk scores work
Center for Public Integrity 2012 series “Cracking the Codes.”
Center for Public Integrity 2014 series “The Medicare Advantage Money Grab.”
