Alexandra Gehrke faces sentencing for a $600 million Medicare healthcare fraud scheme targeting elderly patients, highlighting regulatory and compliance challenges in healthcare billing and Medicare oversight.

New US legislation aims to prevent insurance companies from acquiring independent health clinics, addressing rising healthcare costs and market consolidation.

Susan McGeehan received the W. Fred Cottrell Alumni Award for leadership in Medicaid managed care, LTSS, and integrated aging services, shaping policy and practice in long-term care.

Recent U.S. healthcare updates cover a $34.8M Medicare fraud case, HHS action on organ recovery agency safety, youth fitness legislation, and ACIP's hepatitis B vaccine deliberations.

Examination of Q2 earnings for U.S. health insurers reveals growth trends, regulatory challenges, and economic factors shaping market performance in 2024.

Medicare to pilot AI-driven preauthorization program in six states as federal budget cuts threaten program funding and patient access.

Stay informed on the latest Q3 2025 developments in the Inflation Reduction Act's impact on pharmaceutical supply chains, Medicare negotiation programs, and drug pricing reforms with the Mintz IRA Update.

CMS ends Medicare provider agreement with Magnolia Ridge in Alabama due to failure to meet health and safety standards, leading to termination of Medicare payments for new admissions and impending facility closure.

Dining Out For Life fundraiser supports Milwaukee's Vivent Health in covering HIV medication costs and addressing insurance coverage gaps through community dining events.

2024 report shows skilled nursing improper payments at 17.2%, double Medicare average. Strong compliance and thorough documentation crucial to avoid audits and fraud allegations.