The Justice Department and whistle-blowers accused the major health insurer of overbilling the government for about $1 ...

As CMS moves to replace four legacy Medicare claims platforms, it is seeking a vendor to design one platform that would assume all the systems’ responsibilities.  In a Jan. 8 request for information, ...

A woman discovered a fraudulent $9,320 medical equipment claim filed for her husband, who has Alzheimer's. Medicare initially paid over $5,900 on the fraudulent claim, while the secondary insurer ...

If you did not sign up for Medicare during your Initial Enrollment Period, then that means you should be coming in to Medicare during your Special Enrollment Period Investigators seize luxury goods ...

A Glendale physician is accused of defrauding Medicare by deceitful claims for Botox injections and falsifying medical records, the U.S. Justice Department announced Thursday. A federal grand jury has ...

Many Oregonians with Aetna health insurance can once again seek care at Providence hospitals and clinics without facing higher, out-of-network charges. Providence Health & Services in Oregon and Aetna ...

About 1,600 patients in Washington County covered by Aetna Medicare Advantage individual plans will find their insurance no longer accepted for surgical and outpatient services at South County ...

A new Medicare pilot program using artificial intelligence to review claims is launching in six states, including Arizona. Critics, including some members of Congress, worry the program will lead to ...

Starting Jan. 1, traditional Medicare recipients in Washington state will face a new hurdle to get certain procedures covered — private AI companies that get paid based on how many claims they deny.

UnitedHealth Group is preparing to shed roughly 1,000,000 Medicare Advantage members in what amounts to the sharpest retrenchment by a dominant private Medicare player in decades. The move will force ...

The MarketWatch News Department was not involved in the creation of this content. LOS ANGELES, Nov. 28, 2025 (GLOBE NEWSWIRE) -- The Schall Law Firm, a national litigation firm, announces that it is ...

Do you or a loved one have a chronic health condition like diabetes or heart disease? Managing these conditions can be overwhelming and expensive. You shouldn't have to do it alone. If you're eligible ...