Learn about the DOJ's intensified healthcare fraud enforcement strategies in 2025, including AI challenges and the impact of state regulations.

Explore the implications of False Claims Act changes for insurance and healthcare. Stay informed on compliance, fraud prevention, and legal strategies.

A Medicare fraud scheme in Oconee County, SC, targets seniors and veterans with bogus medical equipment bills, highlighting ongoing challenges in Medicare compliance and fraud prevention.

Owners of Arizona wound graft companies sentenced to lengthy prison terms for a $1.2 billion Medicare fraud involving medically unnecessary procedures and illegal kickbacks.

Physician sentenced to seven years for $24M Medicare fraud involving unnecessary cancer genetic tests and durable medical equipment kickbacks.

Arizona wound graft company owners sentenced for orchestrating a $1.2 billion Medicare fraud scheme involving medically unnecessary treatments of elderly patients. DOJ continues nationwide healthcare fraud crackdown.

Krishna Gidwani sentenced to prison and ordered to pay $3M restitution in $4 million Medicare fraud scheme involving medically unnecessary durable medical equipment. Case is part of DOJ's 2025 National Health Care Fraud Takedown targeting DME fraud and telemarketing schemes.

Senate Majority Leader John Thune discusses ACA's challenges including rising premiums, fraud risks in exchanges, and the need for healthcare system reforms.

Insightful analysis of the WISeR pilot program's implications on Medicare prior authorization processes, healthcare fraud prevention, and impact on beneficiaries.

Florida's auto insurance fraud landscape is evolving; PIP reforms curb old schemes but fraud shifts to costly bodily injury claims, impacting insurers and consumers.