Medicare fraud imposes a $60 billion annual cost and risks to beneficiaries. Rhode Island's Senior Medicare Patrol leads education during Medicare Fraud Prevention Week to enhance fraud awareness and protection measures.

Fernando Valenzuela Ayub pleaded guilty to a $51 million Medicare fraud scheme involving durable medical equipment. The case highlights key issues in Medicare billing and compliance.

CMS revises Kidney Care Choices Model with new financial methods and incentives to balance rising costs and quality improvements, extending program through 2027.

Explore how rising diabetes-driven kidney failure is escalating Medicare costs and straining transplant resources, highlighting the need for early intervention and Medicaid's critical role.

The pending domestic policy bill proposes significant Medicare payment cuts, expanded HSA contributions post-Medicare enrollment, rural hospital classifications, and tightened eligibility rules, impacting coverage and payment structures.

True Heart Insurance, led by Joshua Dixson, earns CMS Elite Plus status for enrolling 500+ consumers in qualified health plans, enhancing access and expertise in Greenville, SC.

House Republicans pass budget bill enacting largest Medicaid cuts in U.S. history, adding tax breaks for the wealthy and increased immigration enforcement funding. Impact on healthcare premiums and federal deficit noted.

Explore the implications of proposed Medicare and Medicaid funding cuts on older adults and underserved communities, highlighting the role of nursing leaders and the aging U.S. population's healthcare needs.

CMS excludes obesity drugs from 2026 Medicare coverage, citing cost concerns; Eli Lilly criticizes the decision impacting obesity management treatments.

FDA refocuses COVID vaccine approvals on high-risk groups with new evidence requirements. Medicare fraud case results in sentencing for $3.2M scheme. Lower-income countries increase self-funded vaccine investments. Bipartisan prior authorization reform bill returns in Congress.