MaineCare Fraud Risk Map: Discover Updated Information on Medicaid Claims for Providers in Maine
Taxpayers might soon get a clearer picture of how one of the country’s costly welfare programs has been utilizing their funds, thanks to the Trump administration’s release of new Medicaid claims data. (This map utilizes federal data published by the Department of Health and Human Services, detailing monthly claims-level payments to Medicaid providers from 2018 […]
Medicare Advantage providers encounter new limits on excess charges in Trump initiative
Medicare Advantage Payment Proposal Sparks Mixed Reactions This week, Medicare Advantage health plans are moving forward with a government proposal aimed at stabilizing reimbursement rates for the upcoming year. Among other changes, the Centers for Medicare and Medicaid Services (CMS) has suggested keeping these payment rates flat for 2027. Interestingly, some health policy experts believe […]
For years, Colorado Medicaid overpaid a program’s providers multiple times, leading to millions in losses.
Colorado Medicaid Overbilling Issues Uncovered In November, officials in Colorado’s Medicaid system addressed a significant error that had been impacting transit agencies in the metro Denver area. Five years prior, the government had instructed these agencies to bill as if they were providing specialized ambulance services. By 2022, this led to costs exceeding $640 per […]
Georgia imposes $25 million in penalties on health insurance providers
Georgia Health Insurers Fined $25 Million for Violations ATLANTA — John F. King, the Georgia Insurance, Safety and Fire Commissioner, has announced that several health insurance companies will face a total of $25 million in fines. According to King’s office, these companies breached the state’s Mental Health Parity Act, which mandates that treatment for mental […]
Iowa Medicaid cuts payments for speech therapy, putting local providers at risk.
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Minnesota child care providers must meet a January 9 deadline to avoid losing funding
Minnesota officials have been given a deadline to submit information about child care providers and parents who are getting federal funds, or they could face losing this funding. According to a notice sent out to child care providers, they must provide this information to the federal government by January 9. This notice follows the U.S. […]
Democrat Proposes Legislation to Protect Daycare Providers from Oversight
Washington State Lawmaker Proposes Bill Exempting Child Care Providers from Disclosing Personal Info A Democratic lawmaker in Washington has put forward a bill aiming to exempt all child care providers in the state from sharing personal details in public records. This comes amid ongoing investigations into alleged child care fraud linked to Somalia. Democratic State […]
SEC sends new warning letters to ETF providers
Just the day before, there was quite a buzz in the crypto community over the Vanguard Group’s decision to change its long-standing stance. The firm announced it would allow ETFs and mutual funds to hold cryptocurrencies, which felt like a major win for the sector. However, that optimism took a hit today with a new […]
Rep. Andrew Clyde Seeks to Hold Abortion Providers Responsible for Their Actions
Georgia Republican Introduces Bill to Repeal D.C. Shield Law On Wednesday, Representative Andrew Clyde from Georgia announced a proposal aimed at repealing the shield law currently in place in Washington, D.C. This legislation, known as the DC Shield Repeal Act, targets the Human Rights Sanctuary Amendment Act of 2022. This act offers certain protections to […]
UnitedHealthcare has declared that WakeMed facilities and providers are no longer in-network.
WakeMed to Withdraw from UnitedHealthcare Network Officials from UnitedHealthcare have announced that WakeMed will be leaving their network. According to UnitedHealthcare representatives, starting November 15, 2025, WakeMed facilities and specialty care providers will no longer be part of the network for those enrolled in commercial and Medicare Advantage plans. Laurie Mandel, CEO of UnitedHealthcare of […]