Medicare
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CMS issues final 2027 Medicare Advantage and Part D Payment Rates
Payor and provider groups are saying the rate increases may not be enough to stave off cuts to coverage.
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Texas DME operator receives 7.5 years in prison for $59m Medicare fraud scheme
The owner and operator of three DME companies paid illegal kickbacks to doctors for medically unnecessary orthotics braces to fund a lavish lifestyle.
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Sanders and Khanna introduce Make Billionaires Pay Their Fair Share Act
“We can no longer tolerate a corrupt tax code that enables billionaires to pay a lower tax rate,” said Sanders.
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HHS agency signals drug rebate program redux with request for information
The RFI is the Trump administration’s next move to get its drug pricing rebate program back on track after hospital groups blocked it last year.
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FCA Healthcare roundup: Three cases of Medicare and Medicaid fraud in IL, MN, NY
Our in-brief, biweekly roundup of notable US Department of Justice False Claims Act cases related to healthcare fraud.
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Former NY bank employee pleads guilty to laundering medical device fraud proceeds
The DOJ said a former Bank of America relationship manager helped launder more than $8m on behalf of an international criminal organization.
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Former Seahawks tight end convicted in $200m healthcare fraud scheme
Joel Rufus French pressured elderly Americans to provide their personal and health insurance information and accept unnecessary orthotic braces.
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DOJ secures record-breaking $6.8 billion in False Claims Act settlements, judgments for FY 2025
The healthcare fraud category took the lion’s share with a staggering $5.7 billion in recovered funds from FCA matters.