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7 September 2026

Florida Men Sentenced to Prison for $34.8M Health Care Fraud Scheme Targeting Medicare Beneficiaries

Two Florida men were sentenced to multiple years in prison for their roles in a $34.8 million health care fraud conspiracy...

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Ohio uncovers more alleged Medicaid fraud payments

A northeast Ohio behavioral health agency received $1.2 million in improper Medicaid payments, Ohio’s auditor said. The state wants $1.4 million...

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4 September 2026

Charlotte woman sentenced for defrauding the North Carolina Medicaid program

Crystal Sherrell Jackson of Charlotte was sentenced today to 48 months in prison followed by three years of supervised release for...

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1 September 2026

Maryland Man Pleads Guilty In D.C. Medicaid Fraud Scheme Topping $250,000

A Silver Spring man pleaded guilty Wednesday in federal court for his role in a scheme that billed D.C. Medicaid for...

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CMS Prevents $1.6 Billion in Fraudulent Medicare Laboratory Payments

Centers for Medicare & Medicaid Services (CMS) enforcement actions have stopped more than $1.6 billion in potentially improper Medicare laboratory payments...

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31 August 2026

Anaheim woman admits to $2.2M Medicare hospice fraud

An Anaheim woman pleaded guilty Thursday to submitting more than $2.2 million in fraudulent Medicare claims for hospice care for patients...

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New York StateWide Senior Action Council (www.nysenior.org) Announces It’s Medicare Fraud of the Month for December: Ending Medical Debt for Seniors

New York StateWide Senior Action Council (StateWide), an organization dedicated to advocacy for the rights of seniors in New York State today announced...

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Progressive lawmakers demand fraud probe into Medicare privatization scheme

A group of progressive lawmakers led by Sen. Elizabeth Warren and Rep. Pramila Jayapal is calling on Biden health officials to...

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Lawmakers Ask CMS to Inspect ACO REACH Model to Prevent Fraud, Abuse

Allowing organizations with records of healthcare fraud and abuse to participate in the ACO REACH model would put Medicare beneficiaries and...

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Surprise bills from ground ambulances is next up in the move toward reform

Good morning, y’all. Following the spending negotiations on Capitol Hill? Tell us what we should know: rachel.roubein@washpost.com. Today’s edition: The Biden administration is...

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