The administration plans to "eliminate funding that had been used to carry out non-statutory, wasteful and woke activities." ...

The lawsuit accuses three insurance giants of paying out hundreds of millions in "illegal kickbacks" in a Medicare Advantage ...

More information: Claim Denials for Cancer-Related Next Generation Sequencing in Medicare, JAMA Network Open (2025). DOI: 10.1001/jamanetworkopen.2025.5785 Journal information: JAMA Network Open ...

Earlier this month, Caremark Incorporated – a drug benefit management company operated by drug retail giant CVS Caremark Corporation –agreed to pay $4.25 million to settle allegations that it ...

Medicare fraud involves falsifying claims. The main difference is intent ... Medicare fraud can take many forms, such as knowingly billing for excess services, including canceled appointments.

Sen. Chuck Grassley during his town hall claims that fifty percent of seniors want privatized Medicare, which instantly sparks a loud and negative reaction from the attendees. Surprising sales ...

The following is a summary of selected federal Department of Health and Human Services’ Office of Inspector General (OIG) reports of fraud and abuse enforcement activity across the country. The ...

Alongside, a professional agency may be hired to design standardized insurance claim and application forms that are easy to understand and fill. Such forms would also ensure that insurance ...

Medicare usually pays healthcare professionals ... To do so, they can: Request a claim form from the insurance company. Complete the form and attach copies of itemized bills from the service ...

The Trump administration says it will not move forward with a Biden proposal that Medicare cover anti-obesity drugs such as Novo Nordisk’s Wegovy and Zepbound from Eli Lilly. The drugs have been ...

While the share of Americans enrolled in Medicare Advantage plans has grown nationwide, the program's popularity still varies geographically. Today, the share of Medicare beneficiaries enrolled in ...

And, after the Trump administration green-lighted telehealth for Medicare recipients in 2020, many private insurers did the same. Overall telehealth claims rose from fewer than 1% of all ...