Key Takeaways CMS’ action signals a broader federal focus on using provider enrollment moratoria to address perceived fraud risks. Providers operating in the affected categories should anticipate ...

WASHINGTON, D.C. — The Centers for Medicare & Medicaid Services released its latest improper payment estimates, reporting ...

Federal watchdogs have confirmed that Medicaid sent more than $207 million in payments tied to people who were already dead, a stark reminder of how vulnerable the program remains to basic data ...

Along with funding for tech upgrades to modernize rural hospitals and health systems, CMS said that the funding will make the rural healthcare system more efficient through the establishment of rural ...

All 50 states will receive grants under the Centers for Medicare and Medicaid Services (CMS) new Rural Health Transformation Program designed to modernize health care in rural communities. Utah will ...

Josh Moore is the new director of MO HealthNet Division, taking over the agency that administers Missouri’s Medicaid program, according to a press release from the state’s social services department ...

When it launched in April 2018, the Medicare Diabetes Prevention Program (MDPP) was championed as a key way to save billions by keeping millions of at-risk beneficiaries from developing diabetes. Some ...

BOSTON, Dec. 15, 2025 /PRNewswire/ -- Basys.ai, an agentic AI-powered prior authorization and utilization management platform, has been selected by the Centers for Medicare & Medicaid Services (CMS) ...

… but our independent journalism isn’t free to produce. Help us keep it this way with a tax-deductible donation today. Gov. Tim Walz is well aware, thank you very much, that fraud in Minnesota’s ...

New analysis shows CMS' payments following the Change Healthcare outage overcompensated most hospitals, underpaid others, and left some without any support. After the Change Healthcare cyberattack ...

WASHINGTON — Maine’s Medicaid program was taken for millions of dollars by a contractor whose founder and CEO sought political office in his native Somalia last year, a whistleblower has claimed. The ...

RALEIGH, N.C. (WTVD) -- North Carolina Democratic Gov. Josh Stein has canceled Medicaid reimbursement rate reductions he initiated two months ago; a move aimed at protecting short-term access to care ...