NY’s monster, $124B taxpayer-funded Medicaid program riddled with fraud, waste: US regulator Dr. Oz
New York’s mind-boggling $124 billion taxpayer-funded Medicaid program is riddled with fraud and waste, US regulator Dr. Mehmet Oz said Sunday...
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United States v. Yoon — Face-Value Billing Presumption for Intended Loss in Private Health-Insurance Fraud and § 3B1.3 Position-of-Trust for Health-Care Providers
United States v. Yoon: Face-Value Billing Presumption for Intended Loss in Private Health-Insurance Fraud; Health-Care Providers as “Positions of Trust” Under...
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Identity verification systems are struggling with synthetic fraud
Fake and expired IDs keep showing up in routine customer transactions, from alcohol purchases to credit card applications. The problem shows...
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EmblemHealth will pay $2.5M after investigation reveals ‘ghost network’ of providers
NEW YORK ATTORNEY GENERAL LETITIA JAMES ON THURSDAY SECURED MORE THAN $2.5 MILLION FROM HEALTH INSURER EMBLEMHEALTH after an investigation revealed...
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Becker bill aims to curb fraud involving AI deepfakes
Seeking to combat the increasing use of artificial intelligence for fraud and defamation, State Sen. Josh Becker introduced legislation on Feb....
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Governor Hochul Unveils Grassroots Support Behind Her Proposals to Lower the Cost of Auto Insurance
Governor Kathy Hochul today unveiled support from local electeds, union leaders, business and community organizations, and nonprofits behind her proposals to...
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Washington bill expands insurance fraud to include vehicle repairs and appraisals
A Washington State insurance commissioner-sponsored bill to combat insurance fraud, including for vehicle repairs or appraisals, passed the Senate Tuesday. SB...
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AI Fraud Prevention Statistics for 2026
Artificial intelligence and the new tools based on it that are hitting the market every new day are starting to have...
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Georgia Supreme Court creates new framework for detecting STOLI schemes
Georgia’s highest court just handed insurers a playbook for spotting stranger-originated life insurance schemes, rejecting simplistic tests in favor of examining...
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Coalition Against Insurance Fraud Announces New Leadership Appointments
The Coalition Against Insurance Fraud announced new leadership appointments across several of its committees and task forces, reinforcing its commitment to...
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