California has seen hundreds of hospice “takedowns” and Medicare payment suspensions targeting what the Centers for Medicare & Medicaid Services ...

The acting director of CMS’s Center for Program Integrity said the agency has shifted away from what was previously a “very ...

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 ...

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, ...

States scramble submit Medicaid revalidation plans to CMS by May 23 as part of a federal effort to audit high-risk providers and reduce fraud.

With Hospice Fraud and Abuse in the West, NPHI Argues Temporary Pause is Critical to Preventing Fraudulent Operators Exploiting the Medicare Hospice Benefit WASHINGTON, March 27, 2026 /PRNewswire/ -- ...

House Oversight Committee Chairman James Comer has called on CMS to brief staff on the complexity of Medicare and Medicaid billing systems, citing potential links to fraud, waste, and higher costs.

President Donald Trump’s administration has moved to shut down a long‑running Medicaid financing loophole that officials say allowed states to shift billions in costs onto federal taxpayers. The ...