What Newly Released Medicaid Data Do and Don’t Tell Us
The Centers for Medicare and Medicaid Services (CMS) is focused on addressing “fraud, waste and abuse” in health programs including...
New CMS data suggest future ACA market turmoil
The Centers for Medicare & Medicaid Services (CMS) this week released new data fueling a narrative of rampant broker fraud...
Feds investigating UnitedHealth for criminal Medicare fraud
The hits keep coming for UnitedHealth Group. Just days after the company announced a change at the top and the...
Brooks-LaSure warns ‘cavalier’ CMS cuts endanger health programs
Former Centers for Medicare and Medicaid Services (CMS) Administrator Chiquita Brooks-LaSure is not buying the Trump administration’s claim health programs...
CMS proposes risk adjustment changes, broker fraud crackdown
A proposed rule from the Centers for Medicare & Medicaid Services (CMS) released Oct. 4 would protect beneficiaries from shady...
DaVita to pay $34M to settle kickback allegations
Kidney care giant DaVita has agreed to pay nearly $34.5 million to settle allegations that it paid kickbacks to secure...
Chicago safety-net hospital CFO charged in $15M embezzlement scheme
A Chicago safety-net hospital’s former chief financial officer and chief transformation officer have been charged for their alleged roles in...














