Tag: Fraud Prevention

House Judiciary Committee Probes Obamacare Subsidy Fraud Involving Major Insurers

House Judiciary Committee investigates fraud in Obamacare subsidies with document demands to major insurers amid concerns over deceptive broker practices and misuse of Social Security Numbers.

Ongoing Medicare Scams Highlight Importance of Vigilance and Reporting

Medicare scams continue year-round, using impersonation tactics to access personal information. Authorities report billions in fraudulent claims. Learn how to identify and report scams to protect Medicare beneficiaries.

Key Tips for Identifying Official Health Insurance Offers and Enrollment Deadlines

Learn how to recognize official health insurance offers during the U.S. Health Insurance Marketplace open enrollment ending January 15. Avoid scams and get free support with these expert tips.

Bipartisan Bill Extends ACA Premium Tax Credits, Targets Fraud and PBM Reform

The Bipartisan Health Insurance Affordability Act extends ACA premium tax credits through 2027, introduces anti-fraud measures, and reforms PBMs to lower health insurance costs amid rising premiums.

Medicare Open Enrollment Scams Target Texas Panhandle Seniors

Medicare open enrollment scams increase in Texas Panhandle during enrollment season. Insights for insurance professionals on identifying and preventing Medicare fraud targeting seniors.

Medicare Advantage Strategies Could Save $7B in Traditional Medicare Costs

A Berkeley Research Group report reveals Traditional Medicare could save $7 billion by adopting Medicare Advantage utilization and fraud strategies, reducing overspending on services like skin substitutes and genetic testing.

Senate Proposes Health Care Freedom Act Amid Concerns Over Obamacare Subsidy Fraud

Senate Finance Committee explores the Health Care Freedom for Patients Act addressing Obamacare subsidy fraud and sustainable health care reforms to lower premiums.

GAO Report Highlights Persistent ACA Enrollment Fraud and Regulatory Gaps in 2024

GAO report reveals ongoing unauthorized plan switching and enrollment fraud in ACA marketplaces in 2024, exposing regulatory shortcomings and CMS challenges.

Sen. Grassley Proposes Annual Fraud Risk Assessments for Obamacare Subsidies

Sen. Chuck Grassley introduces legislation requiring CMS to annually assess fraud risk in Obamacare subsidies amid concerns over waste and abuse, aiming to enhance subsidy integrity and control health care costs.

Rising Medicare Scam Calls Disrupt Patients and Prompt Regulatory Efforts

Medicare beneficiaries face rising scam calls during open enrollment, disrupting patient care and prompting increased regulatory enforcement by the FCC and FTC.