Learn about new Medicare regulations affecting hospital status appeals, set to take effect in early 2025, and the implications for hospital finance management.

Blue Cross and Blue Shield of Illinois has updated its prior authorization requirements for Medicare Advantage and other plans. Learn about these changes and their implications.

Corey Alston pleads guilty to a Medicare fraud scheme involving over $8M in false claims for COVID-19 test kits, facing sentencing soon.

A detailed investigation uncovers $50 billion in Medicare payments for unverified diagnoses made by insurers, raising concerns about Medicare Advantage practices.

Chiquita Brooks-LaSure highlights critical issues from cuts in HHS that threaten nursing home oversight, impacting care quality and enforcement.

Explore how the Inflation Reduction Act impacts Medicare beneficiaries' access and costs for prescription medications, including significant changes in formulary access and cost-sharing for 2025.

An overview of Medicare fraud and its impact on government expenditures, highlighting necessary reforms to curb improper payments.

Congress has extended Medicare telehealth flexibilities to September 2025, addressing provider concerns over expiration.

The DOJ settles a significant Medicare Advantage fraud case, showcasing the commitment to fight healthcare fraud and ensure compliance with billing practices.

Koreatown healthcare providers settle $62M for false Medicare claims.