Federal prosecutors say Minnesota's Medicaid system is facing a fraud crisis so large it could eclipse 9 billion dollars, a figure that would rank among the most staggering public-assistance scandals ...

Navigating the Most Complex Regulatory Landscapes in Cybersecurity Financial services and healthcare organizations operate under the most stringent regulatory frameworks in existence. From HIPAA and ...

Centers for Medicare & Medicaid Services (CMS) Administrator Mehmet Oz on Friday warned Minnesota Gov. Tim Walz the state could lose federal Medicaid funding unless it restores "the integrity" of its ...

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 ...

Milliman, a global leader in actuarial and healthcare analytics, is proud to announce it has been selected as a finalist in the Centers for Medicare & Medicaid Services (CMS) “Crushing Fraud Chili ...

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) ...

Hospitals could be left scrambling to meet guidelines after the Centers for Medicare and Medicaid released Version 4 of its AI Playbook. The playbook documents the agency’s evolving approach to AI ...

Former FBI agent and superintendent of the Minnesota Bureau of Criminal Apprehension Tim O’Malley will serve as Minnesota’s new director of program integrity to help the state address a sprawling ...

"We are honored to be recognized by CMS as a national finalist in the Crushing FWA Challenge," said Amber Nigam, Co-founder and CEO of Basys.ai. "Our mission is to make healthcare more accessible and ...

The CMS created ACCESS to address barriers to care stemming from Medicare’s fee-for-service payment model. Rather than pay for specific services, Medicare will make recurring payments to healthcare ...