The Trump administration says its war on fraud applies to the entire country. But only blue states have had their Medicaid ...

* * * 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 & ...

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 Trump Administration continues its focus on rooting out fraud, waste, and abuse in federalprograms,includingMedicaid. In March 2026, President Trump issued an Executive Order establishing the Task ...

Serco Awarded $109 Million CMS CERT Contract, Extending Support of Medicare Program Integrity The CMS CERT program is a vital ...

The advocacy group Better Medicare Alliance wants the Centers for Medicare & Medicaid Services to adopt a series of recommendations to improve program integrity in Medicare Advantage, including a call ...

Provisions proposed in the 2027 Home Health payment rule would give the agency the right to revoke enrollment in the Medicare ...

California has seen hundreds of hospice “takedowns” and Medicare payment suspensions targeting what the Centers for Medicare & Medicaid Services (CMS) proclaims are a multitude of fraudulent hospices, ...

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 ...

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 ...