The Office of Inspector General (OIG) for the U.S. Department of Health and Human Services issued a special fraud alert on December 11, 2024, to address potentially fraudulent marketing activities linked to Medicare Advantage (MA) health plans, healthcare providers, and third-party marketers, such
Medicaid’s pediatric benefit package, known as Early and Periodic Screening, Diagnostic, and Treatment (EPSDT), is designed to provide comprehensive health coverage to over 30 million children in the United States. This program is particularly crucial for low-income families, children of color, and
The Medicare Advantage program, designed to provide seniors with an alternative to traditional Medicare, has faced persistent issues of overpayments and fraud for over a decade. Despite the numerous efforts by the Centers for Medicare & Medicaid Services (CMS) to address and rectify these areas,
Molina Healthcare, Inc. (NYSE: MOH) has become a significant player in the Medicaid services sector, focusing primarily on low-income individuals and families. Despite many achievements in recent years, the company faces a series of challenges that could impact its future. This article dives into
California's voters will soon decide on a significant healthcare measure, Proposition 35. This proposition seeks to permanently authorize a tax on managed healthcare insurance plans, aimed at securing ongoing funding for the state's Medi-Cal program, which serves low-income residents. Since 2009,
The upcoming changes to Medicare in 2025 are set to bring significant modifications that will impact beneficiaries nationwide. With the open enrollment period from October 15 to December 7, it is crucial for those on Medicare to stay informed and review their options carefully to make the best
