CBO Report Highlights ACA Fraud; Legislation Targets Subsidy Abuse
CBO analysis reveals 2.3M fraudulent enrollees in ACA, prompting legislative reforms to curb subsidy abuse and enhance federal health program integrity.
Medicare Faces $10.6 Billion Fraud Network Indictment
A $10.6 billion Medicare fraud scheme involving stolen data and false medical equipment claims leads to federal indictments, spotlighting compliance and regulatory challenges in health insurance.
California Physician Sentenced for $1.5M Medicare Home Health Fraud Scheme
A California physician was sentenced for a $1.5 million Medicare home health care fraud involving false certifications and fraudulent billing. The case underscores critical compliance challenges in Medicare billing processes.
Upcoming Changes to ACA Marketplaces: Impact on Premiums and Enrollment
Explore key updates to the Affordable Care Act Marketplaces amid proposed regulatory and legislative changes affecting premiums, enrollment, and tax credit expirations.
Federal Charges and Guilty Plea in $10M COVID-19 Unemployment Benefits Fraud Scheme
A Nigerian man pleaded guilty to charges related to a $10 million COVID-19 unemployment benefits fraud scheme involving multiple states and sophisticated identity theft and cryptocurrency tactics. DOJ enforcement and task force coordination highlight pandemic relief program vulnerabilities.
Michigan Man Pleads Guilty to Multi-Million Dollar Unemployment Fraud Scheme
Terrance Calhoun, Jr. pleads guilty to unemployment insurance fraud involving millions across multiple states, highlighting regulatory enforcement challenges in Michigan.
Natural Disaster Fraud Risks Escalate in Texas, Louisiana, and Florida
A study reveals high levels of scam activity targeting homeowners displaced by natural disasters in Texas, Louisiana, and Florida, highlighting challenges for insurers in fraud detection and claims management.
Minnesota Couple Charged in $15M Insurance Fraud Case
A Minnesota couple is charged with defrauding Medicare and other insurers for over $15 million, underscoring major challenges in fraud prevention within the insurance industry.
Iowa Man Charged in Elaborate Insurance Fraud Scheme Involving Staged Truck Explosion
An Iowa man faces charges for staging an accident and intentionally destroying his truck in an attempt to claim over $70,000 in insurance. This incident highlights the need for increased insurance fraud prevention.
Father-Son Duo Charged in $1.4M Insurance Fraud Operation
A father and son have been arrested in California for orchestrating a life insurance fraud scheme that allegedly netted $1.4 million in unearned commissions, affecting over 28 victims. Learn more about the implications for the insurance industry.