The Trump administration launches fraud probe into New York's Medicaid program, citing alleged waste. Gov. Kathy Hochul has ...

In a letter sent to Hochul Tuesday, Oz posed 50 questions scrutinizing what she and her team are doing to control costs and ...

Agentic AI can connect historical behavior, evolving utilization signals and payment integrity requirements into a single control framework that adapts over time.

New York is facing a new federal probe of its $124 billion Medicaid program, as the Trump administration moves ahead with its ...

Weaponizing fraud and using it as a pretext to take funds away from states will destabilize their programs and ultimately take health care from people who can least afford it.

The U.S. Centers for Medicare and Medicaid Services alleges the Indianapolis-based health insurer has failed to properly submit required information to federal regulators since 2018.

As it continues to put a focus on addressing fraud, waste and abuse in healthcare, the CMS said it is also seeking feedback on additional fraud prevention strategies it could use in a future rule as ...

In post-acute care, Medicare is not an abstract federal program. It is Mrs. Thompson’s therapy after a hip fracture. It is Mr. Alvarez’s swallow ...

Federal Medicaid fraud probe targets 10 states, seeking details on fraud and integrity efforts to protect beneficiaries and taxpayers.

The move is part of the “war on fraud” that Trump announced during his State of the Union address. It’s the latest action ...

The director of Minnesota’s Medicaid program said Wednesday that the withheld funding “does not reflect what we have done” to root out fraud.

Gov. Mills’ office says it will meet the Sunday deadline and respond to CMS’ 33-point request ...