As the Centers for Medicare and Medicaid Services calls for public feedback on how to stop lab test fraud, experts say a tailored regulatory strategy will be key to avoid stifling innovation.

Kim Brandt, CMS’s chief operating officer and deputy administrator, said AI tools are helping the agency stop money from going out the door to fraudsters.

For decades, the federal government took a simple approach to Medicare and Medicaid fraud: Pay first, chase later. Now there is, apparently, a "war room." In a viral social media clip, a dozen ...

Federal officials sent out email alerts last week about the prevalence of Medicare scams, warning about fraudsters calling out of the blue and asking if you are on the federal health insurance system ...

Some social media users misinterpreted the announcement and believed the moratorium was on patients receiving supplies, not the suppliers themselves.

President Donald Trump has declared a "war on fraud," but experts say it's a battle that has eluded presidents for decades.

Instead, she and her husband Reinaldo kept going — paying doctors $20 a signature to authorize braces for patients who often ...

Don't fall victim to these blunders.

What appeared to be a surge of grassroots support for higher Medicare Advantage payments was actually driven by a pro-industry group.

Medicare beneficiaries may pay more as insurer acquisitions of PBMs drive up Part D premiums, according to a University of Pennsylvania study.

Although Obamacare sign-ups have fallen significantly this year over skyrocketing monthly premiums, Dr. Mehmet Oz believes ...