OIG Report: Medicare Advantage Organizations Denied Prior Authorization Requests For Nursing Home Care At Higher Rates, And Overturned 97% Of Denials When Appealed

August 27, 2026

OIG had in the past raised concerns that Medicare Advantage organizations’ (MAOs’) use of prior authorization can in some cases result in denials and delays in access to needed care for enrollees. MAOs that inappropriately deny care are not delivering the full value that taxpayers pay them to pr[...]

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Doctor Involved In Operating Room Death Of Alabama Man Indicted

August 22, 2026

The Office of the State Attorney for the First Judicial Circuit announced that a Walton County Grand Jury has returned an indictment charging Dr. Thomas Shaknovsky with second-degree manslaughter in the August 2024 death of a 70‑year‑old man from Muscle Shoals, Alabama. The indictment follows an[...]

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PT Practice Owners Sentenced To Jail For Medicare Fraud

August 21, 2026

Two residents of Erie County, Pennsylvania, each have been sentenced in federal court to six years in prison, to be followed by three years of supervised release, and ordered to pay a $250,000 fine on their convictions of conspiracy to commit wire fraud and healthcare fraud. United States District J[...]

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