A recent report published by the Office of the Inspector General showed the Medicaid program pays significantly less than Medicare for drugs. The OIG compared the prices paid (including rebates) for ...
Glen Carbon's Infinite Wellness Integrative Medical Center settles $249K Medicare fraud case with HHS Office of Inspector ...
Medicare Advantage organizations may be improperly using health risk assessments to increase risk-adjusted reimbursement, according to a report HHS’ Office of Inspector General issued in September.
Network adequacy remains a significant challenge for behavioral healthcare in Medicare Advantage (MA) and Medicaid managed care, according to a new report. Analysts at the Department of Health and ...
On January 5, 2026, the Office of Inspector General (“OIG”) for the Department of Health and Human Services published Advisory Opinion No. 25-12 (“AO 25-12”), an unfavorable opinion regarding sign-on ...
Five federal audits on behalf of Medicare found $12 million in erroneous claims filed by dialysis centers in West Virginia and Delaware, two hospitals in the Altoona Regional Health System in ...
A federal watchdog said Tuesday it has begun auditing nursing homes’ use of the Patient Driven Payment Model to drive skilled nursing reimbursement, and the first targeted facility is blasting the ...
The CMS could use its competitive bidding program to address price concerns, after payments for the devices swelled over five years, the government watchdog said. Medicare first started covering CGMs ...
In an advisory opinion published at the end of 2025, the U.S. Department of Health and Human Services Office of Inspector General (OIG) addressed—to ...
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