CMS Defer $1B in Medicaid Payments to CA, MN
CMS withholds $1B in Medicaid payments from California and Minnesota, exposing how eligibility controls, cash flow, and federalism collide directly.
False Claims Act
Post Acute Care Compliance Checklist for 2026
Use this post acute care compliance checklist to align governance, billing, quality, referrals, privacy, and audit readiness across your organization.
Medicare Hospice Fraud Is a Policy Failure
Medicare hospice fraud reflects weak oversight, distorted incentives, and rising compliance risk for operators, investors, and policymakers.
Federal Healthcare Policy Updates in Focus
Federal healthcare policy updates are reshaping reimbursement, oversight, and strategy for providers, investors, and senior care operators.
Hospice Regulatory Changes 2026 Explained
Hospice regulatory changes 2026 will reshape compliance, oversight, and margins. Here’s what operators, investors, and leaders should watch now.
VOHRA Wound Care Faces Medicare Fraud Claim
The U.S. Department of Justice (DOJ) filed a False Claims Act lawsuit on April 4, 2025, against Vohra Wound Physicians Management LLC, Dr. Ameet Vohra, and VHS Holdings, P.A., in the U.S. District Court for the Southern District of Florida (Case No. 25-cv-21570). The complaint alleges that since December 2017, Vohra engaged in a nationwide … Read more
Medicare Hospice and Home Health Fraud, Part 3
This is part three of the series of posts on hospice and home health fraud. Parts one and two can be accessed below. https://rhislop3.com/medicare-hospice-and-home-health-fraud-part-1/ https://rhislop3.com/medicare-hospice-and-home-health-fraud-part-2/ Recent Cases and Settlements in Medicare Fraud High-Profile Hospice Fraud Convictions Several recent cases highlight the persistence of fraudulent practices in hospice care billing under Medicare. One notable example involves … Read more
Medicare Hospice and Home Health Fraud, Part 2
Late last week, I posted the first part of a three-post, comprehensive review of Medicare hospice and home health fraud. Medicare home health and hospice billing fraud has emerged as a significant issue within the U.S. healthcare system, costing taxpayers billions of dollars annually and jeopardizing the integrity of federal health programs. This is part … Read more
DOJ Recovers $2.9 Billion in Fraud in 2024
The Department of Justice (DOJ) announced that the agency recovered $2.9 billion in resolutions to federal False Claims Act allegations for 2024 (fiscal year ending September 30). This is a slight increase from the historic $2.7 billion recovered in fiscal year 2023. Office of Public Affairs | False Claims Act Settlements and Judgments Exceed $2.9B … Read more
InnovAge Fraud Litigation Expands
A Colorado federal judge last Wednesday certified a class of stockholders in a securities suit against InnovAge (https://www.innovage.com/) alleging the senior health care company made misleading statements in its initial public offering that later caused stock prices to fall post a government audit that exposed false statements. Three public pension funds based in Texas and … Read more