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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)...

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Fraud Division Announces Massive Crackdown for Second Straight Week β€” 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...

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Attorney General Paxton Makes History by Securing a LandΒ­mark Healthcare Fraud Settlement that Creates the Nation’s First-Ever Detransition Clinic and Secures $10 Million from Texas Children’s Hospital for β€‹β€œTransitioning” Kids

Attorney General Ken Paxton secured a historic settlement with Texas Children’s Hospital (β€œTexas Children’s”) that compels the creation of the country’s...

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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...

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DoJ Targets Fraud in Medtech

The Department of Justice has released a new plan to crack down on fraud across the medical device industry.  In April,...

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DOJ fraud crackdown targets $200M Medicaid autism payment errors

Audits reveal deep Medicaid oversight failures The HHS inspector general’s audit found $200 million in improper Medicaid payments for autism services...

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DOJ bust exposes $10 BILLION medicare fraud scheme | Operation Gold Rush

Start your morning with The National News Desk as Jan Jeffcoat sits down with Open the Books’ Rachel O’Brien to discuss...

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Medicaid fraud fears grow amid massive red state billing spike in sector that also plagued Minnesota

As fraud concerns ramp up across the country, particularly involving Medicaid, North Carolina State Auditor Dave Boliek told Fox News Digital the problem...

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The Fraud Division Announces Enforcement Actions from Across the Country Representing Nearly $1 Billion in Fraud

The Justice Department’s National Fraud Enforcement Division continued to advance its mission to fight fraud and protect taxpayers.  Just on Monday,...

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Parent caregivers give perspective on proposed bill to combat future cuts to Medicaid

Parent caregivers give perspective on proposed bill to combat future cuts to Medicaid

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