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3 min read

DOJ secures first cybersecurity False Claims Act settlement

The U.S. Department of Justice secured its first cybersecurity-focused False Claims Act settlement on July 30, 2025 , when biotechnology company Illumina Inc. agreed to pay $9.8 million plus interest to resolve allegations of misrepresenting...

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3 min read

AHA responds to CMS request for information on hospital price transparency

The American Hospital Association responded to a Centers for Medicare & Medicaid Services request for information on price transparency policy,...

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3 min read

Humana sues CMS once more over Medicare Advantage star ratings

Days after a federal judge struck down Humana's first lawsuit challenging Medicare Advantage star ratings, the insurer filed a new complaint against...

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2 min read

White House releases AI action plan

The White House released an action plan on July 23 with more than 90 policy recommendations to expand artificial intelligence use, following...

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2 min read

AHA-supported bill would repeal discriminatory Medicare policy

The American Hospital Association expressed support for the Medicare Mental Health Inpatient Equity Act, which would eliminate the 190-day lifetime...

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3 min read

Kansas hospital sues Blue KC over AI-driven claims denials

Advent Health Shawnee Mission Hospital filed a lawsuit against Blue Cross and Blue Shield of Kansas City, claiming the insurer used artificial...

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3 min read

CMS announces new prior authorization program pilot

The Centers for Medicare & Medicaid Services announcedJune 27 the rollout of a 6-year technology-enabled prior authorization program pilot called the...

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2 min read

CMS proposes 6.4% decrease to home health payments in 2026

The Centers for Medicare & Medicaid Services issued its calendar year 2026 proposed rule for the home health prospective payment system on June 30,...

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2 min read

Supreme Court upholds ACA provision establishing Preventive Services Task Force

The Supreme Court voted 6-3 to uphold an Affordable Care Actprovision creating an independent task force that makes recommendations for preventive...

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2 min read

FBI: Cybercriminals steal health data posing as fraud investigators

The Federal Bureau of Investigation has warned Americans of cybercriminals impersonating health fraud investigators to steal sensitive information...

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3 min read

CMS proposes to close perceived loophole in Medicaid tax regulations

The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule on May 12, 2025, that would impose additional requirements on health...

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2 min read

FTC settles $1.9M case against Evoke Wellness for deceptive ads

The Federal Trade Commission announced a $1.9 million settlement with Florida-based Evoke Wellness and two corporate officers on June 10, 2025,...

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Image of a wheelchair and bed in a nursing home.

2 min read

PA nursing home companies to pay $15 million for healthcare fraud

Two Pennsylvania nursing home operators were sentenced in federal court to pay more than $15 million in restitution for healthcare fraud involving...

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