[tophcfa]

//////

[AMB444]

...

[mtdjed]

[QUOTE=dadspet;2446425]The Villages Health (TVH) filed for Chapter 11 bankruptcy on July 3, 2025, due to significant Medicare billing discrepancies, with a reported liability of $361 million to the U.S. government.

I have a problem understanding TVH's role and how they have billing discrepancies with the US Government.

I understand that Medicare Advantage Programs (MA) have agreements with the US Government and get paid by number of subscribers. I also understand that there are adjustments that MA programs may have with the USG to adjust their payment from the USG based upon severity of their subscriber health.

MA programs have their network of providers which likely invoice the MA Program (Not the USG).

How does TVH get involved with the USG? What do they bill that would lead them to be charged with Billing discrepancies? How could it grow to $361M. Was it mistake, fraud, and where was government audit?

[Sandy and Ed]

Excellent response!!

[Worldseries27]

Originally Posted by amb444

ai. Lol. Yawn.

exactly, did anyone expect the pentagon papers or deep whatever?

[elle123]

Originally Posted by dadspet

I think the following AI summary of the subject should help resolve several of the questions that have been asked on this forum. It seems pretty clear and concise. I hope my copy/paste is adequate, the formatting, audio file and references were lost.


The recent corporate transitions involving The Villages Health System and a local banking institution have led to questions among residents regarding their potential effects. Here's a breakdown of the impact on current Villages residents:

The Villages Health System: Strategic Restructuring and Acquisition

The Villages Health (TVH) filed for Chapter 11 bankruptcy on July 3, 2025, due to significant Medicare billing discrepancies, with a reported liability of $361 million to the U.S. government.[1, 2, 3, 4] It's important to note that Chapter 11 is a reorganization process, not a liquidation, designed to allow the business to continue operations while addressing financial challenges.[1, 5]
As part of this restructuring, TVH entered into an agreement to be acquired by CenterWell Senior Primary Care, a subsidiary of Humana.[1, 2, 6] For residents, the immediate and direct effect is anticipated to be minimal disruption to healthcare services. Both TVH and CenterWell have assured that operations will continue without interruption throughout the transition period.[1, 7] Patients are expected to maintain access to their current healthcare providers regardless of their insurance plans, thanks to CenterWell's "payor-agnostic structure".[1, 7] This means patients should continue seeing their existing doctors and utilizing the same facilities.[1] The acquisition by a major player like CenterWell could also lead to potential long-term benefits such as enhanced services, standardized care protocols, and improved technology platforms.[6]

The Villages Bank: Strategic Acquisition, Not Bankruptcy

It's crucial to clarify a common misunderstanding: The Villages Bank, known locally as Citizens First Bank, was acquired by Seacoast Banking Corporation, and did not file for bankruptcy.[8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18] There was a separate, unrelated merger of "Village Bank" (headquartered in Virginia) with TowneBank, which has no connection to The Villages, Florida.[19, 20, 21, 22, 23]
Seacoast Banking Corporation of Florida acquired Villages Bancorporation, Inc. (VBI), the parent company of Citizens First Bank, for approximately $710.8 million.[9, 13] This acquisition is viewed as a strategic expansion for Seacoast into one of Florida's fastest-growing communities, recognizing it as a "goldmine of growth".[9, 10, 3, 4, 14]
For residents, this means a continuation of the personal service they have come to expect, along with uninterrupted access to their accounts.[9, 16] Importantly, their deposits remain insured by the Federal Deposit Insurance Corporation (FDIC) up to at least $250,000.[22, 24] Seacoast, as a larger institution, intends to build on Citizens First Bank's strengths while potentially introducing innovative financial products and services tailored to the needs of The Villages residents, which could encompass a broader array of services and enhanced technical capabilities.[9, 10, 16]

Overall Community Impact and Future Outlook

While some concerns have been raised about potential "red flags" and impacts on property values [17, 18], the available information suggests a more resilient outlook. The healthcare system's transition prioritizes the continuity of care [1, 5], a critical amenity for a senior-focused community that supports property values. The bank's acquisition is a strategic positive for the community's financial infrastructure, driven by Seacoast's recognition of The Villages as a growing market with robust demographics.[9, 10, 3, 4, 14]
The acquisitions by larger, well-capitalized entities like Humana/CenterWell and Seacoast Banking Corporation can be interpreted as strong affirmations of confidence in the long-term economic stability and growth prospects of The Villages. These corporate actions appear to be more about strategic positioning and regulatory compliance, ensuring stable and potentially enhanced services, rather than indicating a fundamental decline in the community's appeal.

If push comes to shove, The Villages would be acquired by a trillion dollar asset management firm who'd parcel it out to numerous developers.

[Biskopski]

[QUOTE=mtdjed;2446779]

Originally Posted by dadspet

The Villages Health (TVH) filed for Chapter 11 bankruptcy on July 3, 2025, due to significant Medicare billing discrepancies, with a reported liability of $361 million to the U.S. government.

I have a problem understanding TVH's role and how they have billing discrepancies with the US Government.

I understand that Medicare Advantage Programs (MA) have agreements with the US Government and get paid by number of subscribers. I also understand that there are adjustments that MA programs may have with the USG to adjust their payment from the USG based upon severity of their subscriber health.

MA programs have their network of providers which likely invoice the MA Program (Not the USG).

How does TVH get involved with the USG? What do they bill that would lead them to be charged with Billing discrepancies? How could it grow to $361M. Was it mistake, fraud, and where was government audit?

So the chain of events that unfolded. Biden administration starts holding office 2021. Villages Health started mis billing Medicare ( which is the government) They racked up $361 million of overpayment. DOGE started audits of Medicare Jan 2025. Overpayment sited to Villages Health 2025 under the Trump administration. Re-payment demanded. So bankruptcy ensues due to the $$ are gone. So how does an established business Villages Health, thru yearly audits not wonder where the new found $$ are coming from? They knew, they distributed it to their share holders. We honest working stiffs call that theft.

[merrymini]

The villages does not need banks, insurance etc like it might have in the past. So it is divesting itself. As far as the health thing, how does so much money go so far without being found out is amazing to me. As they say in Chinese philosophy “the only constant thing is change itself.”

[Singerlady]

Originally Posted by Stu from NYC

Thanks for the info.

Just makes me wonder about the timing and why the developer sold the bank now.

$$$$$ to pay off TVH debt?

[Angelhug52]

What does AI say about the Village Insurance Compny? What does it say about The sinkhole in Marsh Bend where many homes where built? Not sure AI is a trust worthy source?

[CoachKandSportsguy]

Originally Posted by dadspet

Perhaps a better question might be is there a better source of unbiased information

geez, the assumption that AI is unbiased means that one doesn't understand how AI works. AI can definitely be biased, and GROK has been proven to be programmed with bias. who would have guessed. .

i think last week they took GROK off line for several hours because of the biased, unacceptable answers which were being given. .

AI may be able to summarize, but humans interpret, and most of human posting are interpretations of events. . from each individual's belief in the truth of their point of view. A clear sunny sky does not appear blue to all people, just the majority

[golfing eagles]

[QUOTE=Biskopski;2446853]

Originally Posted by mtdjed

So the chain of events that unfolded. Biden administration starts holding office 2021. Villages Health started mis billing Medicare ( which is the government) They racked up $361 million of overpayment. DOGE started audits of Medicare Jan 2025. Overpayment sited to Villages Health 2025 under the Trump administration. Re-payment demanded. So bankruptcy ensues due to the $$ are gone. So how does an established business Villages Health, thru yearly audits not wonder where the new found $$ are coming from? They knew, they distributed it to their share holders. We honest working stiffs call that theft.

There is literally nothing correct in that rant. The timeline is wrong, the money was not “new found”, nothing was distributed to “shareholders” and the statement that they “knew” is pure speculation

[CosmicTrucker]

Although AI is quite impressive, its effectiveness depends on the quality of the information available on the web. With that in mind, I am genuinely impressed by how well AI can gather, organize, and clearly present this information.

[New Englander]

Originally Posted by CoachKandSportsguy

geez, the assumption that AI is unbiased means that one doesn't understand how AI works. AI can definitely be biased, and GROK has been proven to be programmed with bias. who would have guessed. .

i think last week they told GROK off line for several hours because of the biased, unacceptable answers which were being given. .

AI may be able to summarize, but humans interpret, and most of human posting are interpretations of events. . from each individual's belief in the truth of their point of view. A clear sunny sky does not appear blue to all people, just the majority

What is GROK?

[BrianL99]

Originally Posted by New Englander

What is GROK?

Elon Musk's AI Chat Bot.

Big on X/Twitter