Explore the scrutiny of UnitedHealth Group's Medicare Advantage strategies and their impacts on payments, risk adjustment, and regulatory compliance in the insurance industry.

Kaiser Permanente's $556 million Medicare fraud settlement highlights crucial compliance challenges in the insurance industry. Learn more about the implications for insurers.

Discover the latest changes to the DMEPOS Competitive Bidding Program by CMS and what it means for healthcare suppliers and regulatory compliance.

Explore upcoming health insurance reforms in Mississippi focusing on accessibility and compliance. Crucial insights for providers and stakeholders in the industry.

Explore CMS's proposed regulations on medical procedures for minors, impacting Medicaid and compliance. Understand the implications for healthcare providers.

Stay informed on CMS's pause of Medicare reporting requirements for SNFs, impacting compliance timelines. Essential updates for healthcare providers.

Health First Urgent Care agrees to $2.8 million settlement for Medicare and Medicaid overbilling linked to improper diagnostic test billing practices in Washington State.

A U.S. court rejected Humana's attempt to contest the CMS 2025 Medicare Advantage ratings, affecting Humana's bonus payments and highlighting CMS's regulatory role.

Medicare Advantage expansion is linked to care delays in skilled nursing facilities, urging providers to better understand MA protocols for improved patient outcomes.

Medicare audits are becoming more frequent and aggressive, leading to inflated repayment demands. Learn how statistical challenges, independent coding reviews, and specialty expertise can protect healthcare providers from exaggerated audit outcomes.