GAO Report Highlights ACA Subsidy Fraud Concerns and Solutions
Explore the GAO's findings on ACA subsidy fraud, illustrating critical issues and proposing effective strategies for enhancing program integrity and consumer protection.
Medicare Open Enrollment Spurs Rise in Fraudulent Activity, Massachusetts SMP Warns
Medicare Open Enrollment 2025 in Massachusetts sees a surge in scams targeting beneficiaries. The Massachusetts SMP program urges vigilance and offers fraud prevention resources to protect Medicare coverage.
Southwest Florida's SHINE Program Supports Medicare Beneficiaries During 2025 Open Enrollment
AAASWFL's SHINE Program offers free Medicare counseling for Southwest Florida beneficiaries during the 2025 Open Enrollment Period, facilitating informed insurance decisions and fraud awareness.
CMS Pilot Uses AI for Medicare Prior Authorization, Faces Oversight Calls
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.
CMS Data and State Audits Expose Fraud Risks in Medicaid and Obamacare Exchanges
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.
Congressional Doctors Advocate Medicare, PBM Reforms to Curb Fraud and Costs
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.
Americans Spent $90B on Social Media Shopping, Sparking Buyer Regret and Fraud Concerns
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.
Strategies to Combat Medicare Fraud and Reduce $60 Billion Annual Loss
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 Alerts Medicare Providers to Rise in Fraudulent Fax-Based Medical Record Phishing
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.
NY StateWide Highlights Medicare Doctor Spoofing Scam Targeting Seniors
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.