Within Medicare, improper payments last year exceeded the estimated annual earnings of roughly 214,000 primary care doctors — ...
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 ...
CMS issued an interim final rule with comment period placing a temporary moratorium on new agent and broker ACA registrations ...
Medicaid programs are in a period of heightened scrutiny, as states confront growing complexity in how these programs are administered and sustained. A recent Kaiser Family Foundation analysis ...
On July 6, 2026, the Centers for Medicare & Medicaid Services (CMS) published its Calendar Year 2027 Home Health Prospective Payment System Proposed Rule (the “Proposed Rule”) in the Federal Register, ...
Unified Program Integrity Contractors (UPICs) operate within the universe of Medicare and Medicaid program integrity contractors that are responsible for assessing and enforcing program billing ...
The six-month moratoria on hospice and home health enrollment in Medicare should end as scheduled in November, according to ...
The Centers for Medicare & Medicaid Services (CMS) took constructive steps in its 2027 final rule and rate announcement, particularly on payment integrity and quality measurement. But those steps are ...
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Commentary: Commonsense reforms can go a long way toward fixing Medicare’s spending mess.