What's New

February 17, 2026

Comparison of Average Sales Prices and Average Manufacturer Prices: Results for the Third Quarter of 2025

UpdatedWork Plan

February 13, 2026

Missouri Did Not Obtain Millions of Dollars in Rebates for Medicaid Physician-Administered and Pharmacy Drugs

Updated Corporate Integrity Agreements:1 New CIA

Enforcement Actions

February 13, 2026; U.S. Attorney's Office, Eastern District of Texas

Healthcare Executives Guilty in Multimillion-Dollar Healthcare Fraud Conspiracy

February 13, 2026; U.S. Attorney's Office, District of Massachusetts

New York Man Sentenced to 14 Months in Prison for Kickback Scheme

February 12, 2026; U.S. Department of Justice

Two Foreign Nationals Indicted in Chicago as Part of $10M Health Care Fraud Scheme

What's Trending

1. Team Rehabilitation Services Agreed to Pay $12.2 Million for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services that Were Not Reimbursable and Services that Did Not Meet the Requirements of Time-Based Codes
2. Medicare Advantage Industry Segment-Specific Compliance Program Guidance
3. ACF’s $529 Million Sole Source Contract Award for Unaccompanied Alien Children Services Was Based on an Unsolicited Proposal, Double the Cost Estimate, and Noncompliant With Pre-Award Requirements
4. Two Sentenced To Federal Prison For Health Care Fraud
5. Gaps in Sponsor Screening and Followup Raise Safety Concerns for Unaccompanied Children