CMS’s proposed crackdown on Medicare Advantage upcoding could save billions and mark a turning point in the fight against insurer fraud.

State officials say the president’s actions are a new form of retribution, even as the White House has pardoned allies ...

State health leaders announced Monday they’re launching “Minnesota Revalidate" in an effort to combat ongoing Medicaid fraud ...

The Minnesota Department of Human Services on Monday announced a new push to scrutinize providers in state-run Medicaid programs at high risk for fraud, including a significant expansion of ...

The state is paying Optum, a UnitedHealth Group subsidiary, over $2 million this year to review claims for 14 programs that ...

Recent reporting has put a spotlight on Medicaid fraud and what can happen when large public programs operate without close ...

Minnesota state employees will re-examine thousands of Medicaid service providers in the latest effort to fight fraud and prevent the federal government from withholding critical funds. In an ...

Hospice fraud explodes in Los Angeles with providers allegedly scamming $3.5 billion from Medicare through ghost patients and ...

A licensed nursing assistant from Pompano Beach was found guilty by a federal jury for orchestrating a massive health care ...

Elizabeth Oker was convicted of Medicaid fraud for billing services not provided, leading to a sentence including repayment ...

The woman submitted incorrect or adjusted billing information for reimbursements for services that were never provided.

The Commonwealth Foundation report shined a spotlight on Medicaid fraud in Pennsylvania earlier this week. Now, two days ...