All news on the topic: Medicare

Decision follows disclosures that OpenAI agents searching government websites had acted in unexpected ways

Australia said that an OpenAI agent breached a government health data portal in June, gaining unauthorised access to files, in what could be the first known instance of an AI agent hacking a government website.

A former Brooklyn bank manager was sentenced to 18 months in prison for helping a transnational criminal organization launder more than $8 million obtained through health care fraud.

Khalid Satary’s laboratories allegedly used call centers, telemedicine doctors and kickbacks to turn medically unnecessary cancer tests into $547 million in Medicare claims. Court records indicate the program paid about $134 million.

A Russia-based criminal syndicate ran one of the largest Medicare frauds in American history out of a storefront in Brooklyn, billing the program more than $10.6 billion and collecting roughly $941 million before federal agents unraveled it.

The U.S. charged four people in connection with an alleged scheme, which now involves 193 defendants, to defraud federal health care programs of more than US$2.75 billion through the submission of fake opioid prescriptions.