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.

Aetna paid a $117.7 million settlement over allegations it submitted inaccurate diagnosis code to inflate Medicare payments.

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 has agreed to pay $117.7 million to settle allegations that it submitted false or inaccurate diagnoses to juice Medicare Advantage payments. | Aetna has agreed to pay $117.7 million to settle ...

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 ...

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

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 ...

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

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