Republicans who control the Wisconsin Legislature convened on Tuesday and within seconds ended a special session called by Democratic Gov. Tony Evers to expand Medicaid, dashing chances for the state to receive a one-time bonus of $1 billion in federal coronavirus relief funding.

Gov. Tony Evers will try again to expand Medicaid coverage in Wisconsin, announcing Wednesday that his state budget proposal will also have more than $150 million in other health initiatives, including bolstering student mental health support, addressing the opioid crisis and increasing telehealth accessibility.

A Janesville pharmacist is set be arraigned in federal court this month on charges he cheated Medicaid and Medicare out of $1 million.

The U.S. Department of Justice recently scored victories in two False Claims Act cases involving providers’ alleged failure to return overpayments as mandated by the Patient Protection and Affordable Care Act of 2010.

A nursing home chain has agreed to pay $38 million to resolve allegations that it billed Medicare and Medicaid for substandard care at nearly three dozen facilities around the country, the Justice Department announced Friday.

On Sept. 15, the U.S. Department of Labor announced it awarded more than $10 million in grants to 19 states to help improve efforts to detect employers who improperly classify employees as independent contractors.

Personal-injury and defense attorneys trying to reach a settlement must remember that the federal government always wants to be paid first and is not choosy about where the money comes from, particularly in cases involving Medicare-eligible plaintiffs.

Long-awaited regulations governing the way litigants in personal injury cases with future medical bills should reimburse the government for Medicare payments could come as soon as this year.

A proposed rule to drastically increase whistleblower rewards paid for information leading to successful Medicare fraud actions to as high as nearly $10 million was proposed by the Department of Health and Human Services this week.

A recent decision from the Wisconsin Court of Appeals affirmed that the University of Wisconsin Hospital could pursue a hospital lien against a Medicare-eligible patient even after the Medicare billing period had expired.

The U.S. Attorney's Office says a company that provides health care in northeastern Wisconsin has agreed to settle a lawsuit claiming it submitted false Medicare claims.

11-2809 Abraham Lincoln Memorial Hospital v. Sebelius

GERMANTOWN, Wis. (AP) – A Washington County company and its parent firm will pay nearly $5 million to settle a health care fraud claim by two whistleblowers. The two former employees of Abri Health Plan of Germantown claimed the company misrepresented its Medicare Part C coverage plans in violation of federal regulations. The pair said the company was withholding key ...