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New Jersey Business Owner Sentenced to 87 Months for $172M Medicare Fraud
20 Dec 2025 18:20 GMT
… prison for conspiring to defraud Medicare of $172 million, commit … fraudulent doctors’ orders for reimbursement through a web of more … submitted fraudulent claims to Medicare on behalf of those companies … one-by-one to avoid Medicare audits and recoupment, and …
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Inspire Medical slides after Medicare reimbursement policy change
18 Dec 2025 17:00 GMT
… from Medicare administrator contractors Noridian and CGS that could impact reimbursements for …
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BioStem Technologies Products Placed on “12-Month Status Quo Period” List in Update to CMS CY 2026 Final Medicare Reimbursement Rule for Skin Substitutes
18 Dec 2025 12:00 GMT
… designation preserves DFU/VLU reimbursement eligibility for 2026, ensuring continued … and Medicare-related revenue. As a result, the Company’s largest reimbursement … our products are eligible for Medicare reimbursement; the risk that end users …
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CMS proposes 2 Medicare drug pricing models
20 Dec 2025 00:09 GMT
… models aimed at curbing Medicare drug spending by linking … long-term sustainability of the Medicare program.
Here are four … while GLOBE targets drugs reimbursed under Medicare Part B, such as … strain on both the Medicare program and its beneficiaries. …
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Will Medicare drug costs counter increases from ACA cuts in Tennessee?
19 Dec 2025 18:26 GMT
… . This legislation allowed Medicare to negotiate prices with … widespread use among Medicare patients.
Will Medicare insurance plans … with updated federal Medicaid reimbursement costs, meaning TennCare …
The bill proposes raising reimbursement rates for OB…
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Florida Man Admits Role in Medicare Fraud Scheme
19 Dec 2025 12:39 GMT
… a scheme that fraudulently billed Medicare for medically unnecessary prescriptions, … center workers allegedly contacted Medicare beneficiaries and pressured them to … Jersey — that billed Medicare for reimbursement.
Prosecutors said Medicare paid more than $ …
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Trump’s Pot Pivot: Executive Order Reschedules Cannabis, Ignites Stocks and Medicare Shift
18 Dec 2025 22:07 GMT
… federal restrictions and signals potential Medicare coverage for medical cannabis … the order opens doors to Medicare reimbursement for cannabis therapies targeting chronic … Lilly scouting acquisitions. ‘Possible Medicare coverage for pot could unlock …
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CMS’ ACCESS Model: A New Push to Rewire Medicare Around Outcomes?
18 Dec 2025 22:44 GMT
… explicit attempt to rewire traditional Medicare itself around patient outcomes, total … determined.
However, results from the Medicare Shared Savings Program, CMS’ largest … of parallel developments — higher 2026 reimbursement for remote patient monitoring and …
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Charlotte's Web Serves as a Premier CBD Partner for Landmark Medicare and Medicaid Pilot Program
18 Dec 2025 20:52 GMT
… science-backed CBD products with reimbursement through Medicare and Medicaid, creating a … out-of-pocket costs through Medicare reimbursement, making CBD more affordable for … reducing hospital visits.
Under the Medicare pilot framework, enrolled patients will …
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Hospitals performing gender-affirming care on children to lose Medicare and Medicaid funding
18 Dec 2025 19:28 GMT
… announced it will terminate Medicare and Medicaid to any … a condition of participation in Medicare and Medicaid programs. Nearly … .S. hospitals participate in Medicare and Medicaid,” the HHS … for hospitals to be reimbursed for Medicare and Medicaid, it must …