Skip to main content

Medicare & Medicaid

By Jeff Lagasse | 01:33 pm | July 02, 2025
Defendants include 96 doctors, nurse practitioners, pharmacists and other licensed medical professionals.
By Jeff Lagasse | 11:42 am | July 02, 2025
Defendants include 96 doctors, nurse practitioners, pharmacists and other licensed medical professionals.
By Jeff Lagasse | 06:07 pm | July 01, 2025
About 103,000 beneficiaries may have been impacted by the creation of fraudulent Medicare.gov accounts.
By Jeff Lagasse | 01:35 pm | July 01, 2025
Dr. Sophia Toya prescribed thousands of orthotic braces that were not medically necessary, DOJ says.
By Susan Morse | 12:15 pm | July 01, 2025
The model will leverage AI and machine learning for prior authorization of services vulnerable to fraud or inappropriate use, CMS says. 
By Susan Morse | 12:01 pm | July 01, 2025
Half of U.S. counties lost HHAs from 2020 to 2024, says National Alliance for Care at Home.
By Jeff Lagasse | 04:19 pm | June 30, 2025
Dr. Sophia Toya prescribed thousands of orthotic braces that were not medically necessary, DOJ says.
By Susan Morse | 12:18 pm | June 30, 2025
A telehealth provision in bill makes permanent first-dollar coverage for High-Deductible Health Plan-Health Savings Accounts, says ATA.
By Susan Morse | 12:27 pm | June 25, 2025
The ad does not mention Medicaid, but asks Congress to consider legislation "that could have far-ranging negative consequences. ..." 
By Jeff Lagasse | 12:16 pm | June 25, 2025
A fix to the Medicare Physician Fee Schedule passed in the House version of the bill and should be included in the Senate draft, groups say.