The Centers for Medicare & Medicaid Services (CMS) will use AI to help make prior authorization decisions via the new Wasteful and Inappropriate Service Reduction (WISeR) Model, but the final decision ...

Jorden Borders, 35, of Crosslake, was sentenced Thursday in Crow Wing County Court. She was found guilty on 11 charges, including attempted murder, child torture, stalking, and theft by false ...

A Crosslake, Minnesota woman was sentenced to 39 years in prison for child abuse against her three children and Medicaid ...

A Crosslake mother will spend decades behind bars for child torture and fraud in what Minnesota Attorney General Keith ...

The procedures will be reviewed by AI for coverage determinations, although final decisions will be made by people. The companies contracting to do the review process will receive payments when they ...

The Florida Senator who chairs the Committee on Aging is warning older people that they are prone to being ripped off amid a ...

West End Services and its owner will pay $825,000 to settle allegations they billed Medicare for prescriptions that were ...

Officials and advocates alike say that healthcare cuts will make it harder for all New Yorkers, whether you get Medicaid or ...

Three House members authored a resolution recognizing the health care program's anniversary. They all voted to take it away ...

If you’re still picking up phone calls without hesitation, you might be exactly who scammers are hoping to reach. Phone-based ...

The owner of Coney Island-based senior care providers pleaded guilty Wednesday to illegally billing Medicaid tens of millions ...

"He's now being indicted on four different counts of fraud and abuse when he actually had nothing to do with this case." ...