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Carrington, Coleman, Sloman & Blumenthal, LLP
May 19, 2026 Fraud, Abuse & Enforcement CMS has imposed six-month, nationwide moratoria on new Medicare enrollment for hospices and home health agencies (HHAs), blocking initial enrollment applications and certain changes in majority ownership. The moratoria, coordinated with Vice President JD Vance’s Anti-Fraud Task Force, do not affect existing providers, who may continue serving Medicare beneficiaries. CMS has already suspended payments to 773 hospices and 23 HHAs suspected of fraud in Los...
May 19, 2026 Fraud, Abuse & False Claims Enforcement The Justice Department’s Civil Division launched the FOCUS (Fraud Oversight through Careful Use of Statistics) initiative to formalize its relationship with data miners filing qui tam complaints under the False Claims Act. Qui tam filings have surged in recent years, driven increasingly by data miners — companies or individuals who analyze public government data for fraud signals — rather than traditional insider whistleblowers. Under...
May 19, 2026 Cybersecurity, Data Privacy & HIPAA Fragmented identity systems across healthcare force patients to maintain separate credentials for patient portals, EHRs, pharmacies, PBM claims platforms, and insurer authorization — multiplying security risks and driving the average cost of a healthcare data breach to $7.42 million in 2025, the highest of any industry for the 12th consecutive year. Most breaches are credential-driven, yet the majority of healthcare organizations still rely on...