The updates build on previous legislation and work to create greater transparency within the marketplace. The U.S. Department of Health and Human Services (HHS) announced updates to regulations…
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FinCEN Identifies $17 Billion in Healthcare Fraud
Secretary Bessent said, “Treasury will continue working alongside our law enforcement partners to disrupt fraud wherever it occurs, protect Americans, and safeguard the integrity of taxpayer-funded programs.” The…
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Administration Ends Medicaid Coverage for Transgender Medical Interventions for Minors
The vice president and HHS secretary have also referred gender clinics to the Justice Department for billing fraud. President Trump announced this week that sex-rejecting procedures on children…
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FBI Arrests Suspects from “Most Wanted Fraudsters” List
Two men were separately accused of defrauding federal health programs of $3.7 and $1.2 billion. The Federal Bureau of Investigation (FBI) announced that one man was apprehended in…
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HHS Officials Announce Changes to Medical Billing Dispute Process
The updated rule seeks to streamline the No Surprises Act arbitration system and reduce administrative costs. Federal agencies finalized a rule updating the Independent Dispute Resolution (IDR) process…
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HHS Takes Action to Curb Psychiatric Overprescribing
Secretary Kennedy shared information and resources and advocated for a reduction in prescription medications for mental health. The Department for Health and Human Services (HHS) announced plans to…
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Justice Department Files Antitrust Suit Against Ohio Healthcare Company
Attorney General Bondo said, “Americans deserve low-cost, high-quality healthcare – not anticompetitive hospital system contracts that make healthcare less affordable.” The Department of Justice (DOJ) and the Ohio…
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DOJ Files Lawsuit Against Louisiana Over Alleged Medicare Fraud
The federal complaint alleges improper Medicare billing and unnecessary patient care. The Department of Justice (DOJ) has filed a civil complaint under the False Claims Act against Priority…
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DOD Inspector General Finds Tricare May Be Vastly Overpaying for Some Medical Procedures
Reports that differences could cause military families to pay much higher costs. The Inspector General (IG) of the Justice Department released a report reviewing the cost of medical…
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CFPB Finalizes Rule Barring Medical Debt from Credit Reports
The bureau restored a provision of the 1970 Fair Credit Reporting Act. The Consumer Financial Protection Bureau (CFPB) issued a final rule to block credit reports from including…
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