Medicare Program Integrity and Efforts to Root Out Improper Payments, Fraud, Waste and Abuse
(By Meredith Freed, Juliette Cubanski, and Tricia Neuman for The Kaiser Family Foundation Published: Mar 31, 2025) Medicare, the federal
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Medicare Fraud; Illegal Activities
The latest Medicare scam
A new Medicare scam is on the rise, entitizing seniors to “free” or at “no cost to you” genetic testing.
Read MoreHealthcare billing fraud: 10 recent cases
(By Andrew Cass for Becker’s Hospital Review) Here are 10 healthcare billing fraud cases that Becker’s has reported since Oct.
Read MoreFeds ramp up Medicare Advantage scrutiny
(By Rylee Wilson for Becker’s Hospital Review) The federal government is ramping up scrutiny of Medicare Advantage plans. In October,
Read MoreA Covid Test Medicare Scam May Be a Trial Run for Further Fraud
(By Susan Jaffe for KFF Health News) Medicare coverage for at-home covid-19 tests ended last week, but the scams spawned
Read MoreWill cutting fraud save Medicare?
In 2022, the total amount spent on Medicare was $982 billion, and Medicaid spending was $864 billion. The federal government
Read MoreMedicare Advantage plans face significant risks of fraud, OIG says
(By Rylee Wilson for Becker’s Hospital Review) Medicare Advantage plans should be aware of fraudsters turning their efforts to private
Read MoreGovernment Lets Health Plans That Ripped Off Medicare Keep the Money
(By Fred Schulte for Kaiser Health News) Medicare Advantage plans for seniors dodged a major financial bullet Monday as government
Read MoreLack of Oversight and Opportunities for Fraud Appear to be Driving Upswing in COVID-19 Testing Costs
Medicare spending on COVID-19 testing in 2022 outpaced 2020 and is expected to exceed 2021 spending as well, even though
Read MoreLawmakers concerned over payers with Medicare Advantage fraud allegations participating in ACO model
(By Rylee Wilson for Becker’s Hospital Review) A group of Democratic senators and representatives are concerned about organizations with previous
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