Key Takeaways - Targeted recruiting that doubles as patient acquisition is high‑risk. When a home health agency’s prospective ...

On October 28, 2025, HHS Office of Inspector General (OIG) posted an audit report finding that Medicare improperly paid suppliers $22.7 million over seven years for durable medical equipment, ...

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 ...

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 ...

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 ...

Republicans are looking to the top watchdog at the Department of Health and Human Services to investigate suspected Medicare ...

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 ...

Medicare Part B spending on skin substitutes used on hard-to-heal wounds is drawing new scrutiny in a federal watchdog report, even as wound clinicians make their case for access to those alternatives ...