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 ...

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, ...

Assisted living operators that provide Medicaid home- and community-based services to their residents could be front and ...

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.

The Centers for Medicare and Medicaid Services (CMS) issued a Request for Information (RFI) on February 27, 2026, that signals a potential expansion of federal health care fraud, waste, and abuse ...

Amber Nigam is CEO and cofounder of basys.ai, a Harvard-based company streamlining prior authorization for health plans with agentic AI. Fraud, waste and abuse (FWA) has historically been addressed at ...

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 ...

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 ...

Conclusion The 340B rebate pilot weights program integrity against financial stability for safety net providers. A formal evaluation will be necessary to assess whether and to what extent the program ...