The WISeR model introduces AI-based prior authorization, aiming to reduce fraud and unnecessary care. Congress and CMS are ...

Washington D.C.’s Congressional Budget Office (CBO) recently reported that under President Donald Trump’s One Big Beautiful ...

As part of Louisiana’s version of “DOGE,” the auditor reviewed the state’s Medicaid payments since 2019 and discovered the LDH paid $9.6 million for 1,072 beneficiaries who were no longer living.

Fifteen law enforcement agencies banding together to stop child predators on the north shore ...