CMS must increase its oversight of Medicaid managed care programs by requiring states to audit payments to and by managed care organizations, according to a Government Accountability Office report. In ...
On February 25, 2026, the Centers for Medicare & Medicaid Services (“CMS”) announced several program integrity actions impacting Medicaid funding and Medicare supplier enrollment, along with a request ...
California has seen hundreds of hospice “takedowns” and Medicare payment suspensions targeting what the Centers for Medicare & Medicaid Services ...
The acting director of CMS’s Center for Program Integrity said the agency has shifted away from what was previously a “very ...
The Centers for Medicare & Medicaid Services today announced a six-month nationwide moratorium preventing enrollment of new ...
The Deficit Reduction Act of 2005 provided the resources to establish the Medicaid Integrity Program (MIP), the first national strategy in the 40-year history of the Medicaid program to promote the ...
* * * Misclassification of Drugs, Program Administration and Program Integrity Updates Under the Medicaid Drug Rebate Program Notice for Proposed Rulemaking (CMS-2434-P) The Centers for Medicare & ...
Leading Republicans are looking toward the Government Accountability Office (GAO) to ensure CMS' new premium stabilization demonstration program is legal and in the best interest of seniors. In a ...
The 340B rebate pilot model set to begin in January 2026 starkly presents the key tradeoff between program integrity and support for safety net providers and poses an important question: can the 340B ...
A six-month, federal moratoria on new Medicare enrollment for home health and hospice agencies has the potential to affect a growing percentage of senior living residents, but the action has the ...
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