Medicare / Medicaid

UnitedHealth Group Is Under Criminal Investigation for Possible Medicare Fraud

The Justice Department is investigating UnitedHealth Group for possible criminal Medicare fraud, people familiar with the matter said. The healthcare-fraud unit of the Justice Department’s criminal division is overseeing the investigation, the people said, and it has been an active probe since at least last summer. While the exact nature of the potential criminal allegations […]

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CMMI Announces New Strategy

After months of signaling that a new strategy was in the works, on May 13, 2025, the Centers for Medicare & Medicaid Services (CMS) released a new strategic direction for the CMS Center for Medicare and Medicaid Innovation (CMMI) as part of the current administration’s “Make America Healthy Again” initiative. The announcement was made through

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Docs Set for Medicare Pay Hike Under Under House GOP Bill

Doctors that treat Medicare beneficiaries would receive a pay boost under the sweeping tax-and-spending cuts legislation House Republicans unveiled Monday. Medicare reimbursements to physicians declined 2.9% this year, provoking outcries from medical societies that complain doctor pay has failed to keep up with cost increases. The GOP measure would raise rates next year and remake

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‘Cuts of This Magnitude Cannot Be Absorbed’: Hospitals Slam Republicans’ Medicaid Proposal

House Republicans on May 11 floated a bill that would impose up to $715 billion in Medicaid and ACA cuts over the next decade — reductions that hospital leaders warn would leave millions without coverage and put essential hospitals at risk of closure. While the legislation stops short of implementing per capita caps or a

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