In response to concerns that some providers may be pushing patients toward higher-reimbursement health plans, CMS is tightening its regulations.
Executives, physicians, investors and other people affiliated with a Dallas-based hospital have been indicted in a $40 million kickback and bribe scheme.
Federal regulators expect healthcare fraud and abuse recoveries to reach more than $5.6 billion in fiscal year 2016.
A fraud case in California has given way to insidious allegations that a self-described "rehab mogul" sexually assaulted female patients in his sober…
The controversial two-midnight rule helped drive down improper payment rates by more than a percentage point in 2016, according to CMS senior officials.
Program integrity, marketplace oversight and maintaining the shift toward value-based payments represent key focal points for HHS in 2017.
OIG has yet again identified EHRs and health IT as one of the 10 biggest management and performance challenges facing HHS.
The election of Donald Trump and a Republican sweep of Congress creates uncertainty about the future of healthcare fraud enforcement and prevention efforts.
A North Carolina oversight committee is calling on the state to restructure its approach to Medicaid fraud detection.
A federal watchdog agency is making drug prices a primary focal point of investigations in the coming year.