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 ...

CMS’ action signals a broader federal focus on using provider enrollment moratoria to address perceived fraud risks.

A new federal review from the U.S. Centers for Medicare & Medicaid Services shows Minnesota’s Medicaid program has an ...

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 ...

WASHINGTON, D.C. — The Centers for Medicare & Medicaid Services (CMS) announced a new oversight initiative aimed at ensuring that enrollees in Medicaid and the Children’s Health Insurance Program ...

The administrator of the U.S. Centers for Medicare & Medicaid Services (CMS), Dr. Mehmet Oz, and other CMS officials narrowed in on home health and ...

The Centers for Medicare and Medicaid Services (CMS) have launched a nationwide oversight initiative to ensure that those enrolled in Medicaid and the Children's Health Insurance Program (CHIP) are ...

The Centers for Medicare & Medicaid Services (CMS) recently announced the launch of the Wasteful and Inappropriate Services Reduction (WISeR) Model, a six-year model under the CMS Innovation Center ...

As Congress continues to debate next steps on the Affordable Care Act's (ACA's) enhanced subsidies, insurers are urging legislators to consider an extension with additional program integrity measures ...

Since 1992, the 340B drug discount program has entitled certain federal grantee clinics and hospitals (called “covered entities”) to purchase outpatient drugs at substantial discounts. The discounted ...