DOJ Criminal Fraud Section 2025 Year in Review – Health Care Fraud Is Front and Center
On January 22, 2026, the Department of Justice (DOJ or the Department) Criminal Fraud Section issued its 2025 Year in Review...
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DHS Audit: $1 billion in Medicaid funding vulnerable to fraud
A third-party audit of the Minnesota Department of Human Services (DHS) identified more than $1 billion in Medicaid funding that may...
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Tighter Enforcement Driving Rising Auto Insurance Fraud Numbers, Experts Say | Insurify
Insurance fraud cases are increasing nationwide. But the higher number is likely due to stronger enforcement and better detection rather than...
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Minnesota DHS announces development of enhanced Medicaid prepayment review system
In a press conference Friday afternoon, Minnesota Department of Human Services announced it is creating an enhanced prepayment system of processing...
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New Jersey Once Again Demonstrates How Nursing Home Enforcement Should Be Done
The New Jersey Office of the State Comptroller (OSC) has engaged in a thoughtful, deliberative process to evaluate nursing home care...
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Drummond continues fight for Oklahoma homeowners in State Farm response
Attorney General Gentner Drummond filed a response yesterday opposing State Farm Fire and Casualty Company’s petition asking the Oklahoma Supreme Court...
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Axle and Experian partner to boost auto fraud detection
Axle, a provider of a universal API for insurance data, has announced a strategic collaboration with Experian, a global data and...
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Medicare launches pilot program using AI to approve or deny treatment claims
Medicare has launched a six-year pilot program that could eventually transform access to health care for some of the millions of...
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New York’s runaway $115B Medicaid ‘gravy train’ needs oversight in light of Minnesota fraud, critics charge
After billions in Medicaid money was stolen by fraudsters in Minnesota, all eyes are on New York — where spending on...
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Lawmakers target insurance fraud loopholes
Insurance fraud costs Washington consumers millions every year — and under current law, many sophisticated schemes can go unpunished. One example:...
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