Explore the role of OIG Corporate Integrity Agreements in federal health care program compliance, including obligations, penalties, and enforcement mechanisms for providers.

Analysis of Medicare data reveals increased carotid artery stenting use but stable carotid endarterectomy rates after CMS expanded CAS coverage in 2023, highlighting evolving vascular surgeon roles and compliance challenges.

An inadvertent leak of UnitedHealth Group's confidential document sheds light on strategic priorities and communication practices of a leading U.S. health insurer, highlighting market and regulatory dynamics.

Jackson Health System terminates employee for unauthorized access to over 2,000 patient records used for personal business promotion, highlighting healthcare data security and compliance challenges.

Humana backs legislative efforts to reform Medicare Advantage billing practices, focusing on diagnoses from nurse practitioner home visits to improve Medicare payment accuracy and reduce overpayments.

CMS Director Mehmet Oz launches intensified audits of Medicare Advantage plans targeting fraud, waste, and upcoding as enrollment grows. Stronger oversight aims to sustain Medicare's financial health.

Michigan woman charged with Medicaid fraud through false mileage reimbursement claims. Case highlights state efforts to combat healthcare fraud and protect Medicaid integrity.

Medicaid funding cuts threaten military families and vulnerable populations; fraud in Medicare costs billions annually. Missouri invests in tornado recovery amid budget debates.

Medicare payments to physicians for GI procedures are declining, while facility reimbursements hold steady or rise, driving concerns over healthcare consolidation and financial pressures on independent practices.

Senate Republicans consider reforms to Medicare Advantage billing and Medicaid cuts in budget talks, impacting millions of health insurance beneficiaries over the next decade.