New Reports: Over Half of the Time, Medicare Managed Care Companies Denied Enrollees Long Term & Rehab Hospital Care – Plus, Concerns Over Skilled Nursing Denials Requests
Read the Reports
What's New
- June 12, 2026
- Watch Now! This Week at HHS-OIG: June 12, 2026
- Congressional Mandate: Part B Billing Codes for Six Drugs Included Noncovered Self-Administered Versions During January 2025 – March 2026
- June 11, 2026
- Medicare Advantage Organizations Overturned Nearly All Appealed Prior Authorization Denials for Skilled Nursing Facility Admission, Raising Concerns About Initial Denials
- The Three Largest Medicare Advantage Organizations Denied Requests for Long-Term Acute Care and Inpatient Rehabilitation at Some of the Highest Rates
Enforcement Actions
- June 11, 2026; U.S. Department of Justice
- Three Illegal Aliens from Guatemala Indicted for Crimes Related to Unaccompanied Alien Children, including Smuggling and Fraud Charges
- June 11, 2026; U.S. Attorney's Office, Middle District of Florida
- Nurse Sentenced to Two Years in Prison for Tampering with and Stealing Controlled Substances at Tampa Bay Area Hospital
- June 11, 2026; U.S. Attorney's Office, Eastern District of Tennessee
- Multi-Million-Dollar Prescription Fraud Scheme Results In Prison Sentence For Three East Tennesseans
