Explore the latest healthcare fraud prevention initiatives and CMS policy reforms aimed at enhancing program integrity and compliance in the healthcare sector.

Discover the proposed Medicare rule changes for hospital payment systems and its impact on small entities. Stakeholders urged to submit feedback by June 2026.

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.

The OPM proposes a new policy for medical data access, raising privacy concerns among insurers and legal experts. Will it impact health insurance practices?

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.