A securities class action lawsuit alleges Inspire Medical Systems concealed operational failures during the Inspire V device launch, causing substantial stock decline and regulatory scrutiny.
New York's StateWide Senior Action Council spotlights Medicare Card Scams as December's Medicare Fraud of the Month, offering resources to protect seniors from fraud and abuse.
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.
CMS indefinitely suspends skilled nursing facility provider enrollment revalidation deadline, altering compliance landscape and emphasizing ongoing disclosure obligations for facilities undergoing ownership changes.
CMS's 2027 Proposed Rule introduces major Medicare Advantage and Part D program reforms including Star Ratings revisions, risk adjustment data access expansion, marketing rules relaxation, and new special enrollment periods for provider terminations.
CMS requests public comments on 2027 proposed regulatory changes to Medicare Advantage, Part D, and Cost Plan programs to streamline compliance and reduce administrative burdens.
CMS's 2026 Physician Fee Schedule rule expands eligible providers and initiating visits for Community Health Integration services, enhancing behavioral health integration and reimbursement pathways.
Patrick C. Moore Jr. sentenced to nearly four years in federal prison and ordered to pay $7.2 million for orchestrating a Medicare fraud scheme involving unnecessary genetic tests and illegal kickbacks.
Georgia man sentenced to nearly four years in prison and ordered to pay $7.2 million for orchestrating a Medicare fraud scheme involving unnecessary genetic testing and illegal kickbacks.
Explore how IRMAA impacts Medicare premiums for higher-income beneficiaries and its significance for U.S. healthcare insurance and compliance professionals.
