Medicare & Medicaid
Defendants include 96 doctors, nurse practitioners, pharmacists and other licensed medical professionals.
About 103,000 beneficiaries may have been impacted by the creation of fraudulent Medicare.gov accounts.
The model will leverage AI and machine learning for prior authorization of services vulnerable to fraud or inappropriate use, CMS says.
Half of U.S. counties lost HHAs from 2020 to 2024, says National Alliance for Care at Home.
Dr. Sophia Toya prescribed thousands of orthotic braces that were not medically necessary, DOJ says.
A telehealth provision in bill makes permanent first-dollar coverage for High-Deductible Health Plan-Health Savings Accounts, says ATA.
The ad does not mention Medicaid, but asks Congress to consider legislation "that could have far-ranging negative consequences. ..."
A fix to the Medicare Physician Fee Schedule passed in the House version of the bill and should be included in the Senate draft, groups say.
A roundtable discussion among industry executives has identified access, efficiency and administrative burden as pressing issues.
Medicaid is often the highest line item in rural budgets, says Families USA executive director.