#1 Healthcare FWA News Source

Explore the latest news about who got audited, who's serving time, and evaluate your next moves to avoid CMS and OIG coming for you or one of your partners/vendors.

anthem data breach,phi violations,healthcare cybersecurity
By Will Schmidt December 16, 2025
Explore Anthem (Elevance) security breaches, HIPAA violations, and data privacy settlements from 2015–2025. Includes breach timelines, financial penalties, and compliance outcomes.
humana fwa timeline,medicare advantage kickback lawsuit,medicare part d bid fraud settlement
By Will Schmidt December 15, 2025
Chronological report of Humana’s 2022–2025 FWA legal actions—CMS penalties, OIG risk audits, DOJ kickback litigation, and a major Part D whistleblower settlement—with impact and status.
doge healthcare,doge impact on healthcare
By Will Schmidt February 11, 2025
Real-time article chronically DOGE's auditing of CMS and US Healthcare costs to help reduce the cost of healthcare and save taxpayer spending.
oig audit,oig audit process
By Will Schmidt January 21, 2025
Explore OIG penalties, audit risks, and de-delegation fallout—plus how to safeguard your plan with better oversight and AI-driven claims defense.
Change Healthcare cyberattack,healthcare ransomware attack,healthcare data breach
By Will Schmidt March 4, 2024
An in-depth analysis of the Change Healthcare cyberattack, its impact on providers and patients, regulatory response, and long-term risks to U.S. healthcare.
unitedhealthcare fraud,unitedhealthcare fwa,unitedhealthcare fwa article
By Will Schmidt December 13, 2023
Full chronicle of United Healthcare's latest fraud, waste, and abuse cases, fines, settlements, and more.
Medicare Administrative Contractor, MAC billing and audits, Medicare claims processing
By Will Schmidt May 12, 2023
Learn how Medicare Administrative Contractors (MACs) manage billing, claims, and audits across regions. Understand their role in compliance, provider payments, and healthcare oversight.
Woman comforts an elderly person outdoors, hand on shoulder, smiling.
By Will Schmidt April 26, 2023
Documented home healthcare fraud cases, settlements, and prison sentences as they happen going back years. Solutions, and analysis included. Get informed!
false diagnosis fraud,risk adjustment fraud,medicare coding abuse
By Will Schmidt April 25, 2023
A detailed analysis of 2024–2025 false diagnosis fraud cases, enforcement actions, payer risks, and how improper coding drives Medicare overpayments.
dme fraud,durable medical equipment fraud,healthcare fraud enforcement
By Will Schmidt February 8, 2023
A comprehensive review of 2024–2025 DME fraud cases, enforcement actions, red flags, and how AI auditing helps payers prevent fraud, waste, and abuse.