Maine Republicans have rolled out a plan to overhaul the state's Medicaid program as they ramp up criticism of Democratic Gov. Janet Mills over her response to the Trump administration's ongoing fraud ...

CVS Health (CVS) stock is down as its insurance unit Aetna to pay $117.7M to settle DOJ's Medicare Advantage fraud allegations over diagnosis codes. Read more here.

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 ...

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 ...

Medicare allegedly paid 15M for ED services billed at nonemergency sites, prompting OIG findings and CMS response on improper payments.

A federal jury has convicted two brothers and a high-level executive for orchestrating a decade-long racketeering enterprise that siphoned more than $32 million from Pennsylvania’s Medicaid program.

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

The Trump administration is demanding answers to dozens of questions about New York's Medicaid spending within 30 days or else it could withhold funds.

Federal officials are urging Medicare users in Illinois and Iowa to review their statements for fraud red flags—like double ...