Complaints about gaps in Medicare Advantage networks are common. Federal enforcement is rare.

Government documents show that federal regulators rarely warn plans that their networks of health providers are so skimpy ...

‘Red flags’ and fraud concerns block would-be nursing home buyer from Medicaid, says N.J. watchdog

State comptroller finds hidden ownership and suspicious payments in proposed purchase of troubled facility previously ...

Fraud charges filed against nine Medicaid workers across Ohio; over $530K stolen

Nine Medicaid providers across the state face criminal charges after investigators said they collectively stole more than ...
Times Reporter

Uhrichsville woman is one of nine Ohio Medicaid providers facing fraud charges

The Medicaid Fraud Control Unit investigated the cases and secured the indictments in Franklin County Common Pleas Court.

KARE 11 Investigates: Death raises new fraud allegations in Minnesota’s Medicaid-funded ICS program

KARE 11’s investigation into Medicaid-funded programs including Housing Stabilization Services (HSS), Adult Rehabilitative ...

Cleveland, Akron providers among 9 indicted for alleged Medicaid fraud totaling more than $530K

Ohio Attorney General Dave Yost says the suspects used inflated hours, bogus visits and other schemes to defraud the state.

Congressional Leaders Urge CMS to Shield ACOs and Seniors from Fraud, Waste, and Abuse, Backing MyCare's $30 Million Battle

MyCare Medical provides coordinated, value-based care to more than 70,400 patients across Florida and Texas, including high-acuity seniors, with a focus on equity, outcomes, and cost-effectiveness, ...
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'He's No Expert On Healthcare': Hakeem Jeffries Puts Rick Scott In His Place, Calls Him Out On His History Of Medicaid Fraud

During a press conference today, House Minority Leader Hakeem Jeffries (D-NY) calls out Senator Rick Scott (R-FL) for having ...