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publication date

CEO
UnitedHealth Group Facing Criminal Probe for Medicare Fraud
Jay Asser | May 15, 2025
It's the latest concerning development in a tumultuous stretch for the healthcare giant.
CEO
Trump Says He'll Stop Health Care Fraudsters. Last Time, He Let Them Walk.
KFF Health News | April 02, 2025
Trump's history of showing leniency to convicted fraudsters contrasts with his present-day crackdown.
CMO
Pain Clinics Made Millions From 'Unnecessary' Injections Into 'Human Pin Cushions'
KFF Health News | February 18, 2025
Pain MD's injections have been proved in court to be part of a decade-long fraud scheme.
Payer
In Settling Fraud Case, NY Medicare Advantage Insurer, CEO Will Pay up to $100M
KFF Health News | December 23, 2024
Independent Health will make "guaranteed payments" of $34.5 million in installments from 2024 through 2028.
Payer
Anti-Fraud Efforts Meet Real-World Test During ACA Enrollment Period
KFF Health News | November 25, 2024
CMS says its efforts are working, pointing to the 30% drop in complaint casework.
Technology
Are RPM Programs Riddled With Fraud?
Eric Wicklund | September 25, 2024
Digital health supporters say there?s no evidence of fraud in RPM programs, refuting an OIG report that calls out the...
Payer
HealthSherpa and Insurers Team Up To Curb Unauthorized ACA Enrollment Schemes
KFF Health News | July 17, 2024
HealthSherpa, which has its own sales team, announced the new initiative ? called 'Member Defense Network' ? July 16.
Technology
A Lesson for Healthcare Execs: Make Sure Your New Technology Isn't Fake
Eric Wicklund | June 18, 2024
The founder and CEO of a medical device company has been convicted of selling an implantable medical device to providers...
Technology
Infographic: 5 Fast Facts On Healthcare Ransomware Attacks
Marie DeFreitas | May 01, 2024
The healthcare industry is a prime target for ransomware attacks.
Technology
Infographic: Healthcare Sector Leads Rank for Ransomware Attacks
Marie DeFreitas | April 10, 2024
Healthcare has a big target on its back when it comes to ransomware attacks.
Payer
Benefytt Technologies to Pay $100M Over Fake Health Plans
Marie DeFreitas | April 01, 2024
Scams are on the rise and health insurance is no exception.
Technology
Timeline of the Change Healthcare Attack
Marie DeFreitas | March 20, 2024
The Change Healthcare ransomware attack has affected health systems nation-wide for almost a month now.
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