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 ...

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 ...

The Centers for Medicare and Medicaid Services official also said the Trump administration’s efforts to combat fraud in ...

* * * 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 & ...

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States scramble submit Medicaid revalidation plans to CMS by May 23 as part of a federal effort to audit high-risk providers and reduce fraud.

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 ...

We collaborate with the world's leading lawyers to deliver news tailored for you. Sign Up for any (or all) of our 25+ Newsletters. Some states have laws and ethical rules regarding solicitation and ...

Federal regulators should audit all Medicare Advantage (MA) plans yearly to boost oversight of the program, which has come under criticism from Congress for overpayments, a key advocacy group said.

While the fraud scandal in Minnesota has set in motion renewed scrutiny of Medicaid and other low-income support programs, the potential for losses in another large entitlement, namely Medicare, ...