Allstate files a lawsuit alleging auto insurance fraud involving a Houston family and healthcare businesses, seeking damages for fraudulent medical claims.

A Florida nursing assistant sentenced to 9 years for $11.4M Medicare fraud scheme. Highlights regulatory compliance challenges in the Medicare system.

CMS proposes a 2.4% rise in hospital payments for FY 2027, impacting Medicare and healthcare quality reporting systems.

Explore the impact of Certificate of Need laws on healthcare costs and competition, as states debate reforms to enhance access and affordability in healthcare.

Explore the new federal policy affecting Medicare coverage for immigrants, its economic consequences, and implications for the insurance industry.

CMS proposes changes to the Medicare SNF PPS, suggesting a 2.4% rate adjustment and adjustments to quality measures. Insights for industry professionals included.

120+ hospitals have filed a lawsuit against HHS over DSH payment changes, seeking a return to pre-2004 calculations due to significant financial losses.

CMS imposes a six-month moratorium on DMEPOS supplier enrollments in Medicare to combat fraud and waste. Find out how this affects your business.

Massachusetts AG enforces injunction against ICE's access to Medicaid data, ensuring privacy for residents and compliance with federal guidelines.

The DOJ files a civil antitrust lawsuit against New York-Presbyterian, targeting restrictive practices hindering affordable health insurance options in NYC.