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 ...
* * * 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 & ...
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 promote the ...
The Trump administration is ramping up efforts to end Medicaid fraud and blue states are under scrutiny. Here's what you need ...
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 ...
On April 23, 2026, Dr. Mehmet Oz, in his capacity as Administrator of the Centers for Medicare & Medicaid Services ("CMS"), ...
The 340B rebate pilot model set to begin in January 2026 starkly presents the key tradeoff between program integrity and support for safety net providers and poses an important question: can the 340B ...
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 ...
Jeneen Iwugo, Acting Director for the Center for Program Integrity at CMS, discusses the potential of agentic automation to streamline decision-making processes, particularly in handling claims and ...
Iowa has saved more than $23 million in cost avoidance or recoveries in the first year using a new Medicaid program integrity initiative, according to a news release. The state used a variety of ...
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