The administrator of the U.S. Centers for Medicare & Medicaid Services (CMS), Dr. Mehmet Oz, and other CMS officials narrowed in on home health and ...

CMS, the Office of Inspector General and other governmental agencies have ramped up their stance on healthcare fraud and abuse, estimating that roughly $4.1 billion in taxpayer money was recovered in ...

A constant refrain from the Trump administration about rooting out fraud, waste and abuse isn’t just about budget cuts. For nursing homes, it may signal increasing audit risk and a rise in burdensome ...

CMS has finalized policies from a proposed rule concerning the program integrity of the Patient Protection and Affordable Care Act health insurance exchanges. The final rule focuses on integrity ...

Rollout of New York’s state Medicaid program is receiving close scrutiny from advocacy groups—and now, the federal government. The Consumer Directed Personal Assistance Program, or CDPAP, is the state ...

Minnesota DHS announces a freeze on enrolments for new providers in 13 Medicaid service categories prone to fraud, aiming to ...

Medicaid is the joint federal-state health insurance program that provides medical coverage to almost five million low-income, elderly, disabled Floridians and children. Although the federal ...

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 ...

The Government Accountability Office has issued a report recommending CMS more clearly communicate its goals for the Medicare Integrity Program and improve the reliability of data used to calculate ...

Since 1992, the 340B drug discount program has entitled certain federal grantee clinics and hospitals (called “covered entities”) to purchase outpatient drugs at substantial discounts. The discounted ...