Kentucky misallocated millions of dollars that the Affordable Care Act provided for establishing a health insurance marketplace, according to a new government…

Six months after Tenet Healthcare reached an agreement to pay $514 million in penalties for an alleged kickback scheme, one of its former executives has been…

Payers can play a critical role in helping tackle the opioid crisis, which not only threatens the nation’s health but also contributes to fraud, waste and…

The federal government's healthcare fraud-fighting efforts recovered more than $3.3 billion in fiscal year 2016, up from the $2.4 billion in recoveries…

From Kaiser Health News: The government never recouped most of the $128 million in overpayments it was owed from Medicare Advantage plans.

From a healthcare fraud enforcement perspective, 2016 was nothing short of a dynamic year. 

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.

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