Operation Gold Rush exposes a $10.6 billion Medicare fraud scheme involving international crime rings and highlights the shift towards AI-driven proactive fraud prevention and enhanced Medicare data analytics.

UnitedHealth Group faces multiple shareholder derivative lawsuits linked to DOJ investigations of Medicare billing practices, highlighting regulatory and corporate governance issues.

Explore critical Medicare enrollment deadlines, coverage coordination with FEHB, and plan options for federal retirees to optimize benefits and manage costs.

Villages Health System files Chapter 11 bankruptcy following a $350 million Medicare overbilling investigation amid increased Medicare Advantage audits and tighter regulatory scrutiny.

Explore the implications of enrolling in Medicare Advantage plans and later switching to original Medicare with Medigap, focusing on medical underwriting and enrollment restrictions that impact U.S. beneficiaries.

Explore the impact of recent U.S. legislation on Medicare, Medicaid, ACA subsidies, and retirement health benefits. Understand key changes affecting coverage, eligibility, and premiums for 2024.

Federal court ruling increases Alignment Healthcare's Arizona Medicare Advantage HMO star rating from 3.5 to 4 stars, enhancing plan quality recognition and CMS bonus eligibility.

Overview of significant 2025 US federal policy changes affecting Medicaid, prior authorization reforms, vaccine recommendations, mental health crisis support, and education funding in Kansas.

Medicare reimbursement for physician GI procedures fell over 22% (2018-2023), while facility payments to ASCs and HOPDs increased, impacting healthcare economics and physician practice structures.

The Treat and Reduce Obesity Act introduces expanded Medicare coverage for obesity screenings, specialists, and medications, aiming to reduce obesity-related diseases and healthcare costs among seniors.