Billions of Medicaid funds are at risk as the Trump Administration ramps up its crackdown on health care fraud.

The McKee administration has not, since January, sought reimbursement from the federal government for millions of dollars in Medicaid administrative expenses because the state's new financial system ...

Kim Brandt, CMS’s chief operating officer and deputy administrator, said AI tools are helping the agency stop money from going out the door to fraudsters.

The agency is looking at “testing new approaches and really being able to think outside of the box” to claw back improper ...

CMS intends to use the $1.2 trillion in provider payment it controls to push whole menu of value-based care programs.

The Centers for Medicare & Medicaid Services (CMS) recently published the fiscal year (“FY”) 2026 proposed rule for Hospital Inpatient Prospective Payment Systems (IPPS) (the “Proposed Rule”).

CMS Adopts New Payment Rate Schedules for Hospital Outpatient Departments The Centers for Medicare & Medicaid Services announced that most hospitals will receive an inflation update of 2.1 percent in ...

From the institution of the Department of Government Efficiency (DOGE), the second Trump administration made cutting down on “fraud, waste and abuse” its ...