Policy & Regulatory Changes

2026 ACA Open Enrollment – What Happened?

On April 15, 2026, Wakely Consulting Group, a Health Management Associates, Inc. Company, released a paper titled, Who Paid, and Who Stayed? Early 2026 Enrollment Trends in the Individual Market.1[1] ...

United States Seizes More Than $2 Million from Pasadena-Based Advanced Wound Care Clinic Accused of Medicare Fraud - Office of Inspector General (.gov)

United States Seizes More Than $2 Million from Pasadena-Based Advanced Wound Care Clinic Accused of Medicare Fraud  Office of Inspector General (.gov)

Working With Federal and State Partners on Health Care Exclusions - Office of Inspector General (.gov)

Working With Federal and State Partners on Health Care Exclusions  Office of Inspector General (.gov)

Tri-Area Community Health Agrees to Pay $513,000 to Resolve Medicare Billing Allegations - Office of Inspector General (.gov)

Tri-Area Community Health Agrees to Pay $513,000 to Resolve Medicare Billing Allegations  Office of Inspector General (.gov)

Pharmacist Sentenced to 30 months in Prison for Role in $2M Health Care Fraud Scheme - Office of Inspector General (.gov)

Pharmacist Sentenced to 30 months in Prison for Role in $2M Health Care Fraud Scheme  Office of Inspector General (.gov)

Queens Pharmacy Owner Sentenced to Over Five Years in Prison for Money Laundering Scheme - Office of Inspector General (.gov)

Queens Pharmacy Owner Sentenced to Over Five Years in Prison for Money Laundering Scheme  Office of Inspector General (.gov)

“Fraud Pays”: Congressional Hearing Exposes Deep Cracks in Medicare’s Defenses

AG Murrill's Medicaid Fraud Control Unit Arrests Shreveport Woman For Medicaid Fraud After Providing Medical Services To Patients Without A License Since At Least 2019 - Office of Inspector General (.gov)

AG Murrill's Medicaid Fraud Control Unit Arrests Shreveport Woman For Medicaid Fraud After Providing Medical Services To Patients Without A License Since At Least 2019  Office of Inspector General (.g...

Memphis Woman Arrested Following TennCare Fraud Investigation - Office of Inspector General (.gov)

Memphis Woman Arrested Following TennCare Fraud Investigation  Office of Inspector General (.gov)

Lehigh County Man Sentenced to Prison for Posing as a Medical Professional - Office of Inspector General (.gov)

Lehigh County Man Sentenced to Prison for Posing as a Medical Professional  Office of Inspector General (.gov)