* * * 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 ...

The Trump administration says its war on fraud applies to the entire country. But only blue states have had their Medicaid funding threatened or deferred, Democrats argued in a House subcommittee ...

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, ...

Gainwell Technologies LLC today announced Gainwell Provider Everywhere™, the nation’s first shared platform designed to help state Medicaid agencies securely share validated healthcare provider ...

HERNDON, Virginia, June 29, 2026 (GLOBE NEWSWIRE) -- Serco Inc., a provider of professional, technology, engineering, and management solutions, announced today that the Company has been awarded a ...

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 ...

Federal regulators should audit all Medicare Advantage (MA) plans yearly to boost oversight of the program, which has come under criticism from Congress for overpayments, a key advocacy group said.

The CMS CERT program is a vital compliance initiative that measures and reports the improper payment rate for the Medicare Fee-for-Service program, which processes over $1 trillion in total medical ...