Alexandra Gehrke faces sentencing for a $600 million Medicare healthcare fraud scheme targeting elderly patients, highlighting regulatory and compliance challenges in healthcare billing and Medicare oversight.

New US legislation aims to prevent insurance companies from acquiring independent health clinics, addressing rising healthcare costs and market consolidation.

Medicare to pilot AI-driven preauthorization program in six states as federal budget cuts threaten program funding and patient access.

Stay informed on the latest Q3 2025 developments in the Inflation Reduction Act's impact on pharmaceutical supply chains, Medicare negotiation programs, and drug pricing reforms with the Mintz IRA Update.

CMS ends Medicare provider agreement with Magnolia Ridge in Alabama due to failure to meet health and safety standards, leading to termination of Medicare payments for new admissions and impending facility closure.

2024 report shows skilled nursing improper payments at 17.2%, double Medicare average. Strong compliance and thorough documentation crucial to avoid audits and fraud allegations.

The Protecting Free Vaccines Act mandates free vaccine coverage across private insurance, Medicaid, and Medicare to ensure no-cost vaccines recommended by ACIP remain accessible to insured Americans.

Senate Democrats propose restoring Medicaid funding and extending ACA subsidies to prevent a government shutdown as Congress faces a critical October 1 funding deadline. Explore implications for U.S. health insurance and federal budget policy.

Congressional hearing explores policies to enhance Medicare coverage and transparency for breakthrough medical technologies, aiming to improve senior access and healthcare outcomes.

OIG finds nursing homes underreporting major injury falls affecting accuracy of CMS Care Compare data; CMS to enhance compliance and reporting measures.