The first formal AI governance body in the Healthcare Eligibility Data space — made up of industry compliance and data experts, along with leading healthcare provider and payer organizations.

As Medicaid programs continue to grow in size, cost, and complexity, program integrity can no longer function as a standalone role—it must be built into the fabric of how programs operate daily.

Add Yahoo as a preferred source to see more of our stories on Google. Mar. 18—WILKES-BARRE — Rep. Brenda Pugh on Tuesday said widespread unemployment fraud and Pennsylvania's ongoing failure to meet ...

As the fog of the COVID-19 war continues to dissipate, it has become increasingly clear that hundreds of billions of dollars were needlessly added to the national debt due to the government’s ...

Amber Nigam is CEO and cofounder of basys.ai, a Harvard-based company streamlining prior authorization for health plans with agentic AI. Fraud, waste and abuse (FWA) has historically been addressed at ...

Amid mounting political pressure to address widespread government fraud, Minnesota Gov. Tim Walz on Friday announced the appointment of an official tasked with creating fraud prevention measures ...