Continued reporting and updating on Kaiser Permanente fraud, waste, abuse, settlemenet and corrective actions.
Explore Michigan's latest fraud cases, including opioid mills, telemedicine kickbacks, pharmacy billing fraud, and more.
Explore Anthem (Elevance) security breaches, HIPAA violations, and data privacy settlements from 2015–2025; timelines, history, explanations, updates.
Chronological report of Humana’s 2022–2025 FWA legal actions—CMS penalties, OIG risk audits, DOJ kickbacks and more.
Real-time article chronically DOGE's auditing of CMS and US Healthcare costs to help reduce the cost of healthcare and save taxpayer spending.
Explore OIG penalties, audit risks, and de-delegation fallout—plus how to safeguard your plan with better oversight and AI-driven claims defense.
An in-depth analysis of the Change Healthcare cyberattack, its impact on providers and patients, regulatory response, and long-term risks to healthcare.
Full chronicle of United Healthcare's latest fraud, waste, and abuse cases, fines, settlements, and more.
Documented home healthcare fraud cases, settlements, and prison sentences as they happen going back years. Solutions, and analysis included. Get informed!
A detailed analysis of 2024–2025 false diagnosis fraud cases, enforcement actions, payer risks, and how improper coding drives Medicare overpayments.
A comprehensive review of 2024–2025 DME fraud cases, enforcement actions, red flags, and how AI auditing helps payers prevent fraud, waste, and abuse.
Duplicate medical billing explained, impact, and how to avoid it.
Diabetes is one of the largest cost drivers for U.S. health plans. Learn how payers manage utilization, fraud risk, and diabetes-related spend.
How much did COVID cost healthcare, and taxpayers, and where did all the money go?
Learn what the OIG stands for, does, and the potential impact it could have on your payer organization.
Multi-year analysis of Medicare Advantage costs, overpayments, and enforcement trends impacting U.S. taxpayers.
A comprehensive review of federal and state investigations, lawsuits, and FWA allegations involving Anthem/Elevance.
Learn what HHS 405(d) cybersecurity resources are, who they apply to, and how they impact HIPAA compliance and healthcare risk management.
Explore the largest opioid fraud case in U.S. history involving pain clinics, surgeries for pills, and DME kickbacks.
Explore the largest healthcare fraud takedown in U.S. history. Uncover how telemedicine, opioid prescriptions, and sober home kickbacks defrauded Medicare.
