Explore how UnitedHealth Group's audits reveal the need for stronger compliance in Medicare Advantage and pharmacy benefit services.

Ketchikan school district's $5.4 million debt to the borough is largely due to rising health insurance costs and budget mismanagement, prompting audits and financial oversight reforms.

CMS increases Medicare audits in nursing homes following a rise in improper payments to 17.2% in 2024, urging better documentation and compliance to avoid denials and penalties.

The Financial Reporting Council (FRC) proposes new enforcement pathways to improve audit oversight and regulatory response times, aligning with its Future of Audit Supervision Strategy.

HHS OIG finds widespread errors in Medicare cost report desk reviews by NGS and recommends enhanced reviewer training and procedures to improve audit accuracy and compliance.

New York State audit finds over $1.5 million in Anthem Blue Cross overpayments for physician-administered drugs under the Empire Plan, highlighting ongoing oversight and claims management challenges.