CMS has imposed six-month, nationwide moratoria on new Medicare enrollment for hospices and home health agencies, blocking both initial enrollment applications and certain changes in majority…

CMS has imposed six-month, nationwide moratoria on new Medicare enrollment for hospices and home health agencies (HHAs), blocking initial enrollment applications and certain changes in majority…

The Justice Department’s Civil Division launched the FOCUS (Fraud Oversight through Careful Use of Statistics) initiative to formalize its relationship with data miners filing qui tam…

Fragmented identity systems across healthcare force patients to maintain separate credentials for patient portals, EHRs, pharmacies, PBM claims platforms, and insurer authorization — multiplying security risks…

The HHS Office of Inspector General will not impose sanctions on a Medicare Advantage organization that proposes to share a percentage of its savings with employer…

The Texas Health and Human Services Office of Inspector General recovered more than $95.7 million from home health providers between December 1, 2025, and February 28,…

Aetna agreed to pay $115 million to settle allegations that it manipulated diagnosis codes to inflate risk scores for Medicare Advantage enrollees. A former risk-adjustment coding…

Private equity firms have invested over $1 trillion in debt-financed healthcare transactions over the past decade, with 93% of healthcare companies carrying speculative debt being private…