CMS launches AI-driven pilot to streamline Medicare prior authorization for select services, prompting legislative calls for independent oversight to ensure patient safety and regulatory compliance.

New CMS data and state audits reveal rising fraud risks and improper payments in Medicaid and Obamacare exchanges, prompting regulatory reforms to enhance program integrity and protect taxpayer funds.

House GOP doctors outline reforms targeting Medicare fraud, PBM-driven drug costs, and graduate medical education funding to address Medicare insolvency and healthcare cost inflation.

U.S. consumers spent $90.6 billion on social media shopping last year, with high rates of buyer regret and reports of scams prompting calls for financial awareness and fraud prevention measures.

Explore effective strategies to prevent Medicare fraud and reduce the estimated $60 billion in annual losses caused by fraud, errors, and abuse. Learn how beneficiaries and caregivers can safeguard against scams.

CMS warns Medicare providers of rising phishing scams via fraudulent fax requests for medical records falsely linked to audits. Providers urged to verify requests to protect patient data.

New York StateWide Senior Action Council warns of Medicare fraud involving doctor spoofing calls targeting seniors, urging vigilance and reporting to curb $60B annual losses.

New York officials alert seniors to a Medicare fraud scheme exploiting expiring card fears, urging use of monitoring app and reporting scams to Senior Medicare Patrol.

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

CMS is intensifying Medicare Advantage audits to recover $43 billion in overpayments, impacting provider contracts and regulatory compliance across the MA ecosystem.