Kaiser Permanente affiliates settle for $556 million over false Medicare claims involving inflated payments through incorrect ...

Minnesota is purging inactive Medicaid providers to tighten program integrity after past fraud concerns. Officials started ...

Kaiser knew that fraudulent Medicare Advantage practices were widespread and unlawful, according to the government, and ...

Republicans are looking to the top watchdog at the Department of Health and Human Services to investigate suspected Medicare ...

Affiliates of Kaiser Permanente with major operations in Oakland and beyond have agreed to pay $556 million to settle federal ...

CITIZ3N is a subsidiary of Softheon, a leading cloud-based shopping, eligibility, enrollment, billing, and member management solution for health plans, their enrollment partners, and government ...

As the Centers for Medicare & Medicaid Services expands hospice fraud oversight, staff from home health and hospice advocacy groups, including the National Alliance for Care at Home and LeadingAge, ...

Thrive Behavioral Services has received a blistering letter from the Rhode Island Executive Office of Health and Human ...

Sen. Chuck Grassley (R-Iowa) on Monday released the findings of his investigation into UnitedHealth Group’s (UHG) Medicare ...

On January 1,the Centers for Medicare & Medicaid Services (CMS) launched their new Transforming Episode Accountability Model ...

Health insurer UnitedHealth Group used aggressive risk-adjustment coding tactics to increase U.S. government reimbursement ...