CMS Medicare fines keep coming: 5 recent updates
(By: Jakob Emerson for Becker’s Hospital Review) CMS has issued dozens of fines against Medicare Advantage, Part D and special
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Illegal Activities
Crackdown on massive fraud in government programs
It has been estimated that taxpayers lost between $233 billion and $521 billion to fraudsters between 2018 and 2022, according
Read MoreCMS’ New Approach to Federal Medicaid Spending in Cases of Potential Fraud
(Authors: Jessica Mathers, Alice Burns, and Robin Rudowitz for The Kaiser Family Foundation Published: Mar 16, 2026) The current administration
Read More Federal Medicaid fraud probe spreads to 10 states
(By: Elizabeth Casolo for Becker’s Hospital Review ) The Republican-controlled House Committee on Energy and Commerce sent letters March 3
Read MoreUnderstanding Medicaid Home Care Amid CMS Focus on Potential Fraud and Abuse
(Authors: Alice Burns, Abby Wolk, and Robin Rudowitz for The Kaiser Family Foundation Published: Feb 24, 2026) Potential fraud in
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Feds sue OhioHealth for allegedly blocking lower-cost health plans — 4 things to know
(By: Alan Condon for Becker’s Hospital Review ) The Justice Department and the state of Ohio on Feb. 20 filed
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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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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
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