A New York doctor received a seven-year prison sentence and over $2.2 million restitution for a $24 million Medicare fraud scheme involving kickbacks for unnecessary lab tests and orthotic braces. The case highlights federal enforcement efforts against healthcare fraud.
Medicare Advantage members leave $5 billion in unused over-the-counter benefits yearly. Understand the impact and ways to maximize these essential healthcare allowances.
Medicare telehealth flexibilities are extended through January 2026, maintaining access for rural and elderly patients. Medicare also launches an AI pilot for prior authorization to streamline outpatient service approvals.
Over 100 healthcare provider groups oppose HHS's proposed HIPAA cybersecurity update amid financial and timing concerns. Sector faces changes in Medicare Advantage, 340B, and insurance market consolidation.
KFF's latest Health Tracking Poll details how rising economic anxiety impacts U.S. adults, highlighting healthcare affordability challenges across demographics and insurance types in 2025.
Analysis reveals higher administrative and financial burdens for Medicare Advantage enrollees with multiple chronic conditions, highlighting the impact of managed care on treatment complexity.
CMS proposes removing creditable coverage reporting requirements for HRAs under Medicare Part D to reduce administrative burdens and beneficiary confusion.
Personalis updates valuation with a raised fair value to $11 per share driven by Medicare reimbursement for its NeXT Personal test and strong Q3 revenue performance. Analysts see durable revenue growth and clinical validation as key drivers.
Nassau University Medical Center serves the highest percentage of Medicaid patients on Long Island, facing financial challenges due to low public insurance reimbursements and a high volume of psychiatric and emergency care cases.
UnitedHealth Group moves to dismiss Ballad Health's Medicare Advantage lawsuit citing binding arbitration agreements and jurisdiction issues in federal court.
