CMS Final Rule Lowers Costs, Cracks Down on Fraud, and Expands State Control
The Centers for Medicare & Medicaid Services (CMS) issued a sweeping rule to strengthen oversight of the Affordable Care Act (ACA)...
Read more
Emerging Growth Trends Driving Expansion in the Insurance Fraud Detection Market
The insurance fraud detection market is on track for remarkable growth in the coming years, driven by technological advancements and increasing...
Read more
Fraud Division Announces Massive Crackdown for Second Straight Week — Over $1 BILLION in Nationwide Fraud Enforcement Actions
The Justice Department’s National Fraud Enforcement Division announced numerous enforcement actions in the past week, as prosecutors across the country pursued...
Read more
Attorney General Paxton Makes History by Securing a Landmark Healthcare Fraud Settlement that Creates the Nation’s First-Ever Detransition Clinic and Secures $10 Million from Texas Children’s Hospital for “Transitioning” Kids
Attorney General Ken Paxton secured a historic settlement with Texas Children’s Hospital (“Texas Children’s”) that compels the creation of the country’s...
Read more
Kuderer fines unauthorized insurer $80,000, issues two cease-and-desist orders
A Yakima insurance agent and an unauthorized insurance company are barred from doing business in Washington after Insurance Commissioner Patty Kuderer...
Read more
Vance is Set to Speak in Maine About Fraud Investigations Ahead of Primary Election
Vice President JD Vance is slated to make an appearance in Maine on Thursday to highlight the Trump administration’s efforts to...
Read more
Travelers Urges Homeowners to Protect Against Contractor Fraud as Storm Season Approaches
Travelers Urges Homeowners to Protect Against Contractor Fraud as Storm Season Approaches In recognition of Contractor Fraud Awareness Week (May 18-22),...
Read more
Adapting Claim Investigations for AI-Driven Fraud
Insurance fraud is not a new problem. What has changed is the ease with which a fraudulent claim can be made...
Read more
HHS and CMS Announce First Meeting of Healthcare Advisory Committee
The U.S. Department of Health and Human Services (HHS) and the Centers for Medicare & Medicaid Services (CMS) is holding the...
Read more
Carpe Data urges industry-wide collaboration to stem AI-driven insurance fraud
An American data and analytics firm is calling for industry-wide collaboration to find solutions for artificial intelligence-driven insurance fraud, which is...
Read more