Michigan doctor sentenced in $6.3 million Medicare fraud scheme Dr. Sophia Toya prescribed thousands of orthotic braces that were not medically necessary, DOJ says.

The app store model in healthcare will return to the former and more appropriate best-of-breed model when interoperability is ...

The company is adding new products treating a range of issues, including HIV, hypertension and behavioral health.

The agentic AI platform works with EHR data to provide insights in care resource management, says Philipp von Gilsa, CEO of ...

Senate boosts rural hospital fund to offset Medicaid cuts Fund will fall short of addressing other bill provisions such as provider tax cuts, says National Rural Health Association.

The U.S. Department of Justice has completed its 2025 National Health Care Fraud Takedown, which resulted in criminal charges ...

According to CMS, they should review Medicare Summary Notices and Explanation of Benefits for any unfamiliar charges or ...

Home health agencies are facing a proposed 6.4% decrease in Medicare payments in 2026, compared to 2025.

The model will leverage AI and machine learning for prior authorization of services vulnerable to fraud or inappropriate use, ...