Optum Rx is leaning on artificial intelligence as it looks to address costly fraud, waste and abuse in the pharmacy space. | ...

Elm City had a former mayor shampooing carpets, a former commissioner fixing cars, without documentation or approval ...

During a House Foreign Affairs Committee hearing on March 17, 2026, Representative Jared Moskowitz (D-FL) raised alarms over what he described as a massive lack of financial oversight within the ...

Leah B. Foley, the top federal prosecutor in Massachusetts, announced Thursday, March 26, that she has tapped two seasoned ...

The state’s Medicaid program — which covers about one in four Coloradans — is poised for its largest single-year jump in at least two decades, with officials proposing a $2.3 billion increase, even as ...

Indiana's Family and Social Services Administration has required autism therapy providers to self-report any fraudulent ...

A new oral GLP-1 therapy and the first preventive option for COVID-19 are among the pipeline drugs that payers and plan sponsors should be watching this spring, according to a new report. The pipeline ...

The home-based care industry is being squeezed on all fronts when it comes to state Medicaid reimbursement, leaving providers ...

Office of Inspector General, Division of Investigation, announced a Pearl River County resident has entered into a plea ...

A local small business advocate discusses how Florida hospitals face scrutiny for rising costs and lack of transparency.