Years of Medicare Advantage overpayments have increased Part B premiums for everyone and eroded Social Security benefits, a new congressional report finds.

While California has been in the spotlight for its hospice fraud, it is not the only state experiencing the issue.

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.

The Joint Economic Committee found that last year, the average American senior’s Medicare premiums were about 10% higher, or more than $200 annually, because of the alleged overpayments. Also: a CBS ...

Aetna Inc., a national insurer incorporated under the laws of Pennsylvania, has agreed to pay $117,700,000 to resolve allegations that it violated the False Claims Act by submitting or failing to ...

The settlement announced by the Department of Justice on Wednesday comes after federal regulators accused Aetna of submitting ...

Record recoveries predate "war room," but experts point to one genuinely new tool ...

A Russian national faces money laundering charges after allegedly bilking Medicare for $400M and fleeing toward Moscow before ...

Critics, including local lawmakers, have raised conflict-of-interest concerns about Optum’s seven-figure contract with the ...

The federal government said the state should do more to fight fraud and is holding back funds. Minnesota officials say the ...

In a letter sent to Hochul Tuesday, Oz posed 50 questions scrutinizing what she and her team are doing to control costs and identify and prevent fraud ...

CMS’ six-month moratorium on Medicare enrollment for certain durable medical equipment, prosthetics, orthotics and supplies vendors is the latest move in its broader fraud crackdown, but ...