A San Fernando Valley man has pleaded guilty to defrauding Medicare out of nearly $16 million through a network of sham hospice companies and laundering the proceeds to conceal the scheme, federal ...

More than 100,000 Medicare recipients will be receiving new cards and numbers after what the agency is describing as a “data incident.” In a statement, the Centers for Medicare and Medicaid Services ...

A reporter was familiar with the insurance giant under scrutiny and the law firm known for its attack stance. Then one hired ...

Cybercriminals accessed Medicare data of more than 100,000 Americans by creating fraudulent accounts, prompting CMS to ...

The healthcare fraud detection field is constantly evolving and faces significant challenges, particularly when addressing imbalanced data issues. Previous studies mainly focused on traditional ...

UnitedHealth Group is again responding to a Wall Street Journal story about billing practices for its Medicare Advantage plan ...

Justice Department prosecutors recently interviewed former employees about company practices that boost federal payments.

The U.S. government is cracking down on bad actors in the healthcare sector, with special attention to United Health. The ...

The investigation, which dates back to at least last summer, concerns alleged efforts to encourage staffers to record certain ...

The Department of Justice is interviewing former employees as part of its criminal Medicare fraud probe into UnitedHealth, according to ...

UnitedHealth Group stock declined on Wednesday following a report from the Wall Street Journal that ex-employees and medical ...

CVS plans to appeal the judgment, which comes after a jury ruled that its long-term care pharmacy benefits manager illegally ...