States agree to share data with DOJ to fight Medicaid fraud
Dr. Mehmet Oz, the U.S. Centers for Medicare & Medicaid’s top official, was with FBI Director Kash Patel and other high-ranking...
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HHS Expands Use of AI in Detection of Healthcare Fraud
The United States Department of Health and Human Services (“HHS”) announced at the end of May that it is expanding its...
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Alleged fraud prompts long list of potential changes to Ohio Medicaid
Reports of hundreds of millions of dollars in Medicaid fraud allegedly committed by home health care providers in Ohio have yet...
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Oglethorpe Inc. and Top Executives Agree to Pay $32M to Resolve False Claims Act Allegations
Oglethorpe Inc. (Oglethorpe), an operator of psychiatric hospitals headquartered in Tampa, Florida, along with its founder and principal owner, Robert Cohen,...
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3 steps that could stop fraud and make healthcare more affordable for all Americans
Americans know something is broken in healthcare. Premiums keep rising, deductibles keep climbing and medical bills often arrive with charges no...
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This Week in Fraud: The Fraud Division Announced Expansion of Midwest Task Force and Authorization to Hire 15 New Medicaid Prosecutors, an Unprecedented Minnesota Health Care Fraud Takedown, and a $2 Billion Telemedicine Health Care Fraud Scheme
This week, the Justice Department’s National Fraud Enforcement Division continued to advance its mission to fight fraud and protect taxpayers. Assistant...
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HHS launches AI-backed health fraud crackdown
Dive Insight: The program, called the Audit Enforcement and Risk Oversight, or AERO, initiative, comes after years of problems with audits,...
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Home healthcare providers targeted amid fraud crackdown
The fraud allegations spurring new legislative action at the Ohio Statehouse are centered on Medicaid funds for home healthcare providers —...
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CMS ‘Crackdown on Fraud’ Continues with Nationwide Six-Month Moratoria on New Medicare Enrollments for Hospices and Home Health Agencies
On May 13, 2026, the Centers for Medicare & Medicaid Services (CMS) imposed two nationwide, six‑month moratoria on new Medicare enrollments...
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How Medicaid fraud crackdown impacts the system
The Ohio Department of Medicaid (ODM) announced the addition of a new fraud detection and analytics tool to weed out bad...
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