Stories

The IRE Resource Center is a major research library containing more than 27,000 investigative stories.

Most of our stories are not available for download but can be easily ordered by contacting the Resource Center directly at 573-882-3364 or rescntr@ire.org where a researcher can help you pinpoint what you need.

Search results for "Medicare" ...

  • Secrets of the System

    The Wall Street Journal showed how mining Medicare claims can expose waste and potential fraud in the $500 billion government health program.
  • First, Do No Harm

    This investigation focused on lax supervision of doctors-in-training, patient harm and alleged billing fraud at Dallas' premier medical school complex and its primary teaching hospital, which are financed largely by taxpayers. It also examined more broadly questions about medical training, patient care and healthcare fraud at teaching hospitals around the United States.
  • "Do No Harm: Hospital Care in Las Vegas"

    This two-year investigation delved deep into Nevada's hospital care. Using state records of hospital patients, the reporters were able to "tap meaningful information" and uncover some frightening statistics on the state's level of health care. The Sun analyzed records dating back to 1986 that had never before been made public.
  • "Medicare and Home Health Care"

    The Wall Street Journal investigated the home health care industry, which has seen increased growth during the last few years. After studying the data found in "millions of Medicare files," reporters found evidence of fraudulent behavior. Several home health companies including one of the largest - Amedisys Inc. - are "taking advantage of the Medicare reimbursement system" by finding ways to pay themselves more.
  • 60 Billion Dollar Fraud

    “Medicare Fraud, a crime that steals an estimated $60 billion a year from the American taxpayer”. Medicare stated they were made efforts to crack down on the fraud, but this investigation proved otherwise. This investigation revealed how easy Medicare fraud is and that zero experience can still result in thousands of dollars from Medicare.
  • Medicare Fraud: The New Cocaine Cowboys

    Medicare Fraud has become one of the largest organized crimes in America. The investigation revealed that it costs “US taxpayers $60 billion in fraudulent Medicare benefits filed every year”. As a result of the first story, many groups moved in to initiate new laws, which would regulate Medicare and who gets the money.
  • Failure to Inform

    “Doctors at dialysis clinics have failed to inform thousands of patients about kidney transplantation, an oversight that could shorten their lives and cost taxpayers millions of dollars a year”. Many patients start dialysis without hearing the benefits of a kidney transplant. The benefits being about 10 years put on your life and saving the federal Medicare program “thousands of dollars a patient”. This series uncovered money plays a large role when prescribing patients on dialysis rather than getting a transplant.
  • Home Health Hustler

    This investigation exposed a woman using multiple identities to set up and operate fraudulent home health care businesses and bill the government. Their investigation found Irene Anderson, also known as Iya Edwards, was in the country illegally and ordered deported nearly twenty years previous, yet she was able to establish numerous home health care agencies and collect millions of dollars in government money. She received Medicare payments for patients who would not typically qualify for home care coverage and for patients who received no home health care at all. This story exposed lapses in federal healthcare and legal systems as well as in the state regulatory system home health care providers. The news team found several ex-employees who had reported fraud and abuse to the state, but nothing had been done. In fact, the Texas Department of Aging and Disability Services claimed it conducted an investigation and found nothing, clearing the way for Anderson to continue to fraudulently bill the federal government. The investigation triggered an arrest, a federal raid, criminal charges, repayment of millions of tax dollars and promises of legislative change.
  • Carilion Concerns

    The Carilion Roanoke Memorial Hospital is under investigation by several agencies for how the quality of care to patients. A suicide in the emergency department raised questions about the acre, and it was determined that the hospital is not in full compliance with Medicare regulations.
  • Coronary: A True Story of Medicine Gone Awry

    The book "investigated and documented the roles played by physicians, hospital administrators and corporate executives in a ten-year scheme to defraud Medicare and private insurers of tens of millions of dollars by performing unnecessary invasive tests and heart surgery" on patients.