On December 16, 2025, the Office of Inspector General (“OIG”) for the U.S. Department of Health and Human Services (“HHS”) published the results of its audit of a Louisiana-based Medicare Advantage ...
Last week, on September 25, 2025, Judge O’Connor in the U.S District Court for the Northern District of Texas ruled in favor of Humana (the Humana Decision) and vacated the Centers for Medicare & ...
“I don’t think there is enough oversight.” When it comes to getting money back from health plans, extrapolation is the big sticking point. Although extrapolation is routinely used as a tool in most ...
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