Medicare Audit Finds $15.2 Million in Improper Payments for Sacroiliac Joint Injections
The U.S. Department of Health and Human Services Office of Inspector General (OIG) has found that Medicare made an estimated $15.2 million in improper payments for sacroiliac joint injection services
Read MoreCMS Expands Medicare Joint Replacement Payment Model: What CJR-X Means for Patients and Hospitals
The Centers for Medicare & Medicaid Services (CMS) has finalized one of its biggest Medicare payment reforms for hospitals by expanding the Comprehensive Care for Joint Replacement Expanded
Read MoreHinge Health Buys Cylinder Health in $105M Deal to Expand Into GI Care After Record Q2 Growth
Hinge Health is making one of its biggest strategic moves since becoming a public company, announcing plans to acquire virtual digestive care provider Cylinder Health in a $105 million cash deal
Read MoreCVS Health Raises 2026 Profit Forecast After Strong Q2 Results and Aetna Recovery
CVS Raises 2026 Profit Forecast After Strong Q2 as Aetna Insurance Recovery Gains Momentum CVS Health has raised its financial outlook for 2026 after delivering a stronger-than-expected second
Read MoreDOJ’s Medicare Advantage Fraud Crackdown: Why Complete Health Paid $14.1 Million
The U.S. Department of Justice (DOJ) has secured another major Medicare Advantage fraud settlement, with Florida-based Complete Health agreeing to pay $14.1 million to resolve allegations that it
Read MoreDOJ Expands Health Care Fraud Crackdown: What the New Philadelphia Strike Force Means
What Happened? The U.S. Department of Justice (DOJ) has expanded its Northeast Health Care Fraud Strike Force into Philadelphia, marking one of the federal government’s latest efforts to combat
Read MoreCMS Autism ABA Toolkit Explained: How States Can Fight Medicaid Fraud and Protect Children
The Centers for Medicare & Medicaid Services (CMS) has introduced a new toolkit designed to help states improve oversight of autism therapy services funded through Medicaid and the
Read MoreUnitedHealth Becomes World’s No. 4 Company by Revenue as Q2 2026 Results Signal Recovery
UnitedHealth Reaches a New Global Milestone—But Faces Growing Challenges UnitedHealth Group has reached a historic milestone, climbing to fourth place on the 2026 Fortune Global 500 after generating
Read MoreNew Jersey, New York, and 20 States Sue to Block Trump’s ACA Rule
A coalition of 21 state attorneys general and Pennsylvania Governor Josh Shapiro has filed a federal lawsuit seeking to block key parts of the Trump administration’s 2027 Affordable Care Act
Read MoreCongress-Eyes No Surprises Act Changes After Arbitration Surge
Six years after the No Surprises Act was signed into law, Congress is once again debating whether the legislation needs major changes. While the law has largely succeeded in protecting patients from
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