Home medical equipment (HME) providers are bracing for additional Medicare oversight measures as the Centers for Medicare & Medicaid Services (CMS) continues its efforts to combat fraud, waste and ...

Within Medicare, improper payments last year exceeded the estimated annual earnings of roughly 214,000 primary care doctors — the figure amounting to almost $57 billion. No one truly knows how much is ...

Medicaid managed care provides a structural framework to fight waste and fraud and reduce the cost to taxpayers.

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, ...

The Trump administration and 119th Congress are preparing to reduce federal expenditures by targeting Medicare and Medicaid fraud, waste, and abuse. Medicare enrollment revocations, Medicaid ...

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, ...

As Medicaid programs continue to grow in size, cost, and complexity, program integrity can no longer function as a standalone role—it must be built into the fabric of how programs operate daily.

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 ...

Federal efforts to eliminate duplicate Medicaid enrollments could impact nursing home staff as the Centers for Medicare and ...

CMS is gathering information for and seeking industry feedback on a project that would consolidate the audit and investigation services for Medicare and Medicaid integrity functions, creating new ...