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Fraud Prevention

Medicaid Fraud Insurance Fraud Medicare Regulatory Actions Government Programs Organized Crime Overbilling Waste in Healthcare Law Enforcement Scams

DOJ Pairs $6.5 Billion Health‑Care Fraud Takedown With CMS Cloud and New Data Shares

The move centralizes CMS claims data with DHS and FTC records to let prosecutors use AI to flag suspicious billing earlier.

Minnesota Restores Payments to Thousands of Disenrolled Medicaid Providers

Federal Freeze and Senate Grilling Focus Attention on Medi‑Cal Payments for Traditional and Spiritual Care

HHS Launches AERO to Use AI, Including ChatGPT, to Scan Five Years of Audit Records

House Panel Probes Widespread Hospice Fraud, Citing Suspensions and Victim Harm

France Steps Up Sick-Leave Fraud Checks With Secure Forms and Super Scanners

CMS Expands Medicaid Fraud Probe to Florida, First GOP-Led State Targeted

CMS Demands California Plan on Alleged Hospice Fraud in Los Angeles

Assurance Maladie Begins Ten-Day Email Alerts to Help Patients Spot Suspicious Health Payments

DOJ Launches AI-Driven War Rooms After Record $14.6B Healthcare Fraud Bust

Proposed Medicaid Cuts and Work Requirements Spark National Debate