The Centers for Medicare & Medicaid Services (CMS) on Wednesday singled out personal care and home- and community-based services (HCBS) in announcing ...

As it continues to put a focus on addressing fraud, waste and abuse in healthcare, the CMS said it is also seeking feedback on additional fraud prevention strategies it could use in a future rule as ...

The move is part of the “war on fraud” that Trump announced during his State of the Union address. It’s the latest action ...

CMS Administrator Dr. Mehmet Oz said his agency paused the payment of $259 million of deferred Medicaid payments to Minnesota ...

Vice President JD Vance and CMS Administrator Mehmet Oz, MD, announced a series of actions affecting Medicare and Medicaid, including a $259.5 million deferral of federal Medicaid funding in Minnesota ...

Agentic AI can connect historical behavior, evolving utilization signals and payment integrity requirements into a single control framework that adapts over time.

CMS finalized a rule this week that ends what it called a healthcare‑related 'financing gimmick,' marking one of the most sweeping Medicaid program‑integrity actions in years. CMS said some states set ...

WASHINGTON, D.C. — The Trump administration’s Centers for Medicare & Medicaid Services this past Monday launched a rapid-fire slate of policy moves spanning drug price negotiations, Medicare Advantage ...

Despite the late Justice Louis Brandeis's famous praise of the American political system for helping courageous states serve as "laboratories of democracy," the Centers for Medicare & Medicaid ...

Florida remains one of a small number of states that hasn’t seen a Medicaid program reauthorized. If an approval doesn’t come before the end of the month, it could throw ...

The continuing growth in states’ Medicaid programs has placed a severe financial strain on state budgets. In fiscal year 2024, Medicaid was the largest category of total state spending, consuming 29.8 ...