The DOJ arrested two West Covina women for a $4.8 million Medicare fraud scheme involving false hospice care claims. This case underscores challenges in hospice billing and Medicare oversight.

Updates on U.S. healthcare budget reconciliation delays, Medicaid policy debates, Medicare Advantage lawsuits, HHS budget for FY 2026, and new NIH research initiatives shaping insurance and healthcare regulation.

A Nigerian man pleaded guilty to charges related to a $10 million COVID-19 unemployment benefits fraud scheme involving multiple states and sophisticated identity theft and cryptocurrency tactics. DOJ enforcement and task force coordination highlight pandemic relief program vulnerabilities.