Missouri sues drugmakers, PBMs over insulin pricing
(By: Ella Jeffries for Becker’s Hospital Review) The Missouri attorney general’s office has filed a lawsuit against 19 pharmacy benefit
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Illegal Activities
Medicare scams are on the rise
New data from the Better Business Bureau shows Medicare scams have surged by 40 percent compared to last year. These
Read MoreHere’s what to know about the Medicare scam call
Robocalls are automated phone calls that deliver a recorded message instead of a live person. While some robocalls are legitimate,
Read MorePlan-Switching, Sign-Up Impersonations: Obamacare Enrollment Fraud Persists
(By Julie Appleby for KFF Health News) Florida resident Keith Jones says his Affordable Care Act insurance plan was changed
Read MoreAHA warns of deepfake AI schemes
(By: Giles Bruce for Becker’s Hospital Review) The American Hospital Association is advising healthcare organizations to be on the lookout
Read MoreNew scam: VA Benefits overpayment
(Source – news.va.gov) Clever scammers are targeting Veterans, surviving spouses and family members who receive VA benefits. They pretend to
Read MoreCMS launches ‘chili cook-off’ AI competition to tackle Medicare fraud
(By: Andrew Cass for Becker’s Hospital Review) CMS has rolled out the “Crushing Fraud Chili Cook‑Off Competition,” a market-based research challenge
Read MoreNorth Carolina Medicare Advantage plan settles with DOJ over identity theft scheme
(By: Jakob Emerson for Becker’s Hospital Review) Troy Health, a North Carolina-based Medicare Advantage insurer, has entered into a non-prosecution
Read MoreCVS’ Omnicare hit with $949M judgement in False Claims case
(By: Alexandra Murphy for Becker’s Hospital Review) A federal judge has ordered CVS Health subsidiary Omnicare to pay $948.8 million
Read MoreHHS, Justice Department form False Claims Act task force
(By: Madeline Ashley for Becker’s Hospital Review) The Justice Department and HHS have launched a joint False Claims Act Working
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