In May 2025, a claim spread online that the Department of Government Efficiency (DOGE) in the U.S. discovered 8 million people fraudulently enrolled in Medicaid, the government health insurance ...

Healthcare CFOs making underpayment analysis a top priority use AI tools to recover millions amid rising Medicare and commercial claim denials.

This is not a handful of bad actors,” Joe Thompson, the first assistant U.S. attorney for the District of Minnesotam said.

Medicaid has become a key hot button topic in the sweeping tax and spending cuts bill that House Republicans are scrambling to pass as soon as this week. Democrats are slamming their rivals for ...

With help from a third-party firm, the state has temporarily paused 80,000 Medicaid claims to review billing for any red ...

“I hesitate to come in here and say everything is resolved, A-OK, we’re all clear,” a state health official told lawmakers Wednesday. Vermont’s Medicaid pharmacy claims system is back online following ...