The Centers for Medicare & Medicaid Services (CMS) on Wednesday singled out personal care and home- and community-based services (HCBS) in announcing ...

As it continues to put a focus on addressing fraud, waste and abuse in healthcare, CMS said that it is also seeking feedback on additional fraud prevention strategies that it could use in a future ...

Agentic AI can connect historical behavior, evolving utilization signals and payment integrity requirements into a single control framework that adapts over time.

WASHINGTON, D.C. — The Trump administration’s Centers for Medicare & Medicaid Services this past Monday launched a rapid-fire slate of policy moves spanning drug price negotiations, Medicare ...

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 ...

Neal Dunn led 2 letters last year urging approval, but Florida remains one of a handful of states still awaiting action.

President Donald Trump’s administration has moved to shut down a long‑running Medicaid financing loophole that officials say allowed states to shift billions in costs onto federal taxpayers. The ...