False Claims Act enforcement reached yet another record high in 2025. On January 16, 2026, the U.S. Department of Justice ...

The Centers for Medicare & Medicaid Services (CMS) has notified Medicare Advantage organizations of a new system for managing and tracking provider complaints.

The Department of Justice (DOJ) released its annual False Claims Act (FCA) enforcement statistics on January 16, 2026. The ...

SAN FRANCISCO (AP) — Kaiser Permanente affiliates will pay $556 million to settle a lawsuit that alleged the health care giant committed Medicare fraud and pressured doctors to list incorrect ...

Kaiser Permanente affiliates will pay $556 million to settle a lawsuit that alleged the healthcare giant committed Medicare fraud and pressured doctors to list incorrect diagnoses on medical records t ...

SCRANTON, LACKAWANNA COUNTY (WBRE/WYOU) —Officials announced that Scranton Heart Institute has agreed to pay over $48,000 to ...

Data: N.C. Department of Health and Human Services; Chart: Axios Visuals North Carolina is one of 13 states whose Medicaid programs cover GLP-1s for weight loss treatment, and their usage in the state ...

Though the arrangement does not fit squarely within a regulatory safe harbor, and therefore technically would generate (if ...

President Donald Trump’s tax legislation includes a provision called “Trump Accounts,” which gives $1,000 to every newborn if ...

Consumers who believe they are eligible will need to submit a valid and timely claim form by the 2026 deadline.

As CMS moves to replace four legacy Medicare claims platforms, it is seeking a vendor to design one platform that would assume all the systems’ responsibilities. In a Jan. 8 request for information, ...

GREENSBORO, N.C. (WGHP) — A Yadkin County woman was recently sentenced to prison for her involvement in a multi-million ...